Laserfiche WebLink
PtRMIT APPLIGATIUN <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 �O — 7,.� 9 <br /> SITE ADDRESS PARCEL TAX I.D.�F PERMIT# <br /> , <br /> %�,—�° A17E �'1�y�c�- c <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PFi.�NE <br /> �� ���o 1.�� 7` �vc '�� i��� _ <br /> TENANT NAME CONTACT FO P�RMIT PHONE�I� ���jy /z� <br /> � r-�S �,9�� " �t�, � <br /> e•mai� <br /> CONTRACTOR � �'�,� � � . �SS y� V � , / TYIZ�P � PHONE.� �� <br /> G/'�Gt' �/J fj �IL �y �E/� (ilJ � � <br /> ! l � �� <br /> CONTR.LICENSE i'����� �� � �Z! 1'�, � ����✓I�� <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> � � l l �� ,_Electric �Gas_Other �j�g p , <br /> (, <br /> WORK DESCRIPTION r , I" ( <br /> �7� ��CL C�ik�1� � awr B l� ��cd�v/�C� f-n�%��i«U <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub �/ Forced air syslems <br /> Lavatory(wash basin) _ Gas pipinc� <br /> Sho�vcr _ Water heater <br /> Kitchen sink 8 disposal _ Gac firoplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer _ Clothes dryer <br /> Water heater _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Dackflow prevenler _ I�eat pump <br /> Urinal _ Unil healer <br /> _ Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeretion <br /> Grease trap _ Woodstove <br /> Roo(drains _ Other <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerilify Ihal I have read and examined lhis applicalion and know lhe same lo be true and correct. All provisions of laws and <br /> ordinaces goveming this lype of work will be complied with whether specified herein or noL The granting of a permil does not presume <br /> to give aulhority to violate or canccl lhe provision of any olher slate or local law regulating conslruclion or the performance of <br /> constructiqn Thal I am ayNid ' by the �+�er ot this property lo per(orm lhe work tor which applicalion is made and I comply with the <br /> Stale Contr ctors Law 18�.jj� and �200 WAC. <br /> / ��� 'f� �,�' C ' ��� �6 � �� <br /> Si alure of OwnedConlract dAulhorized Ac�enl Date <br />