Laserfiche WebLink
P�RMIT APPLICATION <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 <br /> SITE ADDRESS �J(,/ERSF'f PARCEL TAX I.D.N PF,�tMITN � <br /> zG�- D�" �v� 9�a0 � bsoGoo3o 0o i� '- <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION X <br /> DESC. <br /> OWNER � ADORESS CITY2IP PHONE <br /> 'TbMMN ' lYro�0(�� �UQ S�r/op� - 7l9 �Q�k 11� fil,GR�rr prt� 9��0 3 - ��=3r9-s� <br /> TENANT AME I CONiACT FOR PERMIT PHONE ��—. � s��, 5—� '�. <br /> 9 <br /> E*IAIL <br /> OC�I�[1' <br /> CONTR.UCENSE N -��C� �ci:.�C- b!" Fil�` � rt' Cl1A� 9��A� _ �•IS�' 3S J- 5� <br /> USE OF BUILDING � i= � HEAT SOURCE CONTRACT PRICE OF WORK <br /> �" �� m� epr( _Electric _Gas_Othcr <br /> WJRK DESCRIPTION <br /> �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathlub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace � <br /> Dishwasher Gas ranqe <br /> Clolhes washer Clolhes d��er <br /> Water heater Range hooa <br /> Sink(service/bar/mop/elc.) Exhaust lan <br /> Backflow preveNer Heal pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> �Ioor drain Ra(rigeralion <br /> Grease lnp Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br /> I hereby ceritify that I havo read and examined lhis applicatio�and know Ihe same to be lrue and correct. All provisions o(laws and <br /> orJinaces yoveming this type ol work will be compliad with whether spoc�ed herein or nol.The granling oi a pertnit does not presurne <br /> to give aulhon�y lo violate or cancel tho provision o(any other state or local law regulating conslruclion or the pedormance o( <br /> construction.That I am aulhorized by Ihe owner of this property lo peAorm the work lor which application is made and I comply with Ihe <br /> Stale Contraclors Law 18.27 RCW and 296.200 WAC. <br /> � � �, ----� / I � <br /> � <br /> Si ture of C ntraclor!Aulhonze Agent ate <br />