Laserfiche WebLink
a :RMIT �PPLICATI�.N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM CJ�a.� /d <br /> SITE ADDRE I PARCEL TAX I.D.# PERMIT# <br /> 0o t�e� �e �'�- . 1 b�alb 6a► o � �oo G/�x� -�p <br /> LEGA LOTNO. BLO�{{� TRACTORSUBDIVISIONB <br /> DESC. � ('�QI '�iJOO <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> 1 ac�- �a�k'nso�1 �-��1 ELCc�O� ��n v�a�� �utr�,�i wG q�o3 y�s-3`/y 23�� <br /> TENANT NAME I �NTACT FOR P RMIT PHONE <br /> �-GQCI� �C�tvV��Y�SU� E•MAIL ItQfLI.ibZf I��� AOI• �'�l <br /> Z`3AY�FA�Yd D ITPiZ1F�'R <br /> CONTR.LICENSE M <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �Electric _Gas_Other <br /> WORKDESCRIPTION ��,5 i�j C�() (,t(,Cu,I �� �� � <br /> ���.�y ��.y G�f�,.� ; n fio � �0�5 <br /> � c�1i� �oi,il�'l W�la�;7 b.z.�vt �tx��� Q11� RzcA�) Tv `�'�'�c_ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ AIC—airhandlingunits <br /> Bathtub _ Forced air systems <br /> � Lavatory(wash b2sin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clolhes washer _ Clothes dryer <br /> Water heater _ Range hood <br /> Sink(servicelbar/mop/elc.) _ Exhaust(an <br /> Backfiow prevenler _ Heat pump <br /> Urinal _. Unit heater <br /> _ Drinking Fountain _ Boiler <br /> Floor drain _ Retrigeration <br /> Grease trap _ Woodslove <br /> Roof drains _. Olher <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y lhat I have read and examined this app.`cation and know the same to be true and correcl. All provisions of laws and <br /> ordinances governiny tliis type of work will be complied with whelher speciled herein or nol.The granling of a pertnit does not presume <br /> to give authoriry to violale or cancel the provision of any other state or local law regulaling construction or ihe performance o( <br /> construction. Thal 1 ain aulhorized by the owner of ihis property to perform the work forwhich application is made and 1 comply with ihe <br /> S(ate Coniractors Lav 18.27 R�W and 296.200 WAC. <br /> �F-� � �-������� n,�.�-�-� � � la�l �� <br /> Si naWre of OwnedCon ractod uthorized Agenl Date �/ <br /> 2 <br /> , <br />