Laserfiche WebLink
� � � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2�7-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SRE ADDRESS PARCEL TAX I.D.N I PEqMI� I r <br /> r O✓ r�1 0 � <br /> LEGAL LOT NO. BLOCK TRACT OH SUBDIVISION N <br /> DESC. <br /> OWNER AODRESS CRY21P PHONE <br /> ��.-�" s��� n,����- �v �� z�g � �- �-zs ��s � g� <br /> TENANTNAME CONTACTFORPERMIT PHONE3�J ��J �C�S� <br /> �„_. �Q/ywCv��l VYIJIr• �l ti E-MAIL <br /> RA R I`' J 7S � ��LY�C.i ADDRE (�/�-�/v" �V� ,/1 2�P ' �`M NE��/J 7SS�.SSS <br /> �. �n r <br /> l� <br /> CONTR.LICENSE k��C,��7 QLL <br /> �]L CJ <br /> USE OF BUILDING I — HEAT SOURCE I �A�,��E��NORK <br /> ��J���, <br /> Electric _Gas_Other �J <br /> �.r < <�� , _ <br /> , <br /> WOHK DESCRIPTION <br /> IeeUl�c,r.e� �L [.w���7 . �w Gw+�.Sc r� (,�v«�{S ���St' �-G,ws <br /> I <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toiict � A/C—airhandlingunits <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Showcr Water heater <br /> Kitchen sink&disposal _ Gas tireplace <br /> DishH�ashcr Gas range <br /> Clolhes washer Ctothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) � Exhaust fan <br /> Backflew preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Retrigeration <br /> Grease irap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be irue and :orrect. All provisions ol laws and <br /> ordinaces governing this type ol work will be complied with N�hether specilied herein or not.The granting o(a permit does not presume <br /> to give aulhority to violate o� cancel the provision ot any olher state or local law reguiating construction or Ihe performance of <br /> conslruclion.That I am authorized by the owner ol this property to peAorm the work for which application is made and I comply with the <br /> St J�C ctors Law 7827 RCW and 296200 WAC. <br /> / � li��- � 'q v f <br /> o� nat re of OwnedContractodAutfarized Agent ate / <br /> � L <br />