Laserfiche WebLink
PE�r�MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 4�.',-257-8810— FAX 425-257-8857—wvwv.everettwa.ory <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL�TAX I.D.# �ERMIT# , / <br /> 350� nor��n �v� Oo�/S /y ov� �)�n� � (1"03 " .Si <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRESS CITY2IP PHONE <br /> tlo�s� � f�a-�� s�� �� ,z��, (,� ��e•���az�> Y.2S�'�y7-6SSG <br /> TENANT AME CONTACTFORPERMIT PHONE <br /> I/aca�:� S�NI.?L1 (��(c� �/.,�5- 74�- C SS� <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Sn�S�P F�„�•�� ��,7�+� _Eleclric �as_Olher <br /> WORK DESCRIPTION <br /> ���w ���,f <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower 1Valer heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Cblhes dryer <br /> Waler heater Range hood <br /> Sink(service/bar/mop/olc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Urnt heater <br /> Drinking Fountain Boiler <br /> Fioor drain Refrigeretion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby cerili(y lhal I have read and examined this application and know the same lo be lrue and correct. All provisions of laws and <br /> ordinaces c�overninc�lhis lype o(work will be complied wilh whether specified herein or nol.The granting of a permit does not presume <br /> to give aulhorily to violate or cancel lhe provision ot any other stale or local law regulating construction or the performance of <br /> construclion.Thal I am aulhorized by lhe owner of lliis property lo perform lhe work tor which applicalion is made and I comply wilh lhe <br /> Slale Con ors Layr 1 ; 296.200 WAC. <br /> <%� �— ' � � � - vZ / 'l�� <br /> '�alure of�0 vn Contractor/Authorized Agent Date <br />