Laserfiche WebLink
P�RMIT APPLICATII.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 - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � '3 �0 o�lL�s / <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PFIONE <br /> 1321 COL(��! pV,E �'AttY �c,ex�or <br /> pRc��liO�c� �"�E,'D1CA�- C���. gY�� qp�� 42S) 21d-4089 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> N a sT� �kP-cz�R (�+2s) 3y b-0001 <br /> CONTRACTOR ADORESS CITY2IP PHONE <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �gs��-1 p4`, �Electric '�Gas_Other I <br /> WORK DESCRIPTION <br /> ��.•U c�,"1. O r�1 <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 systems <br /> _ Lavatory(wash basin) Gas piping <br /> Shower Waler heater <br /> _ Kitchen sink 8 disposai Gas fireplace <br /> __ Dishwasher Gas range <br /> _ Clothes washer Cbthes dryer <br /> _ Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Re(rigeration <br /> Grease trap Woodstove <br /> Rwf drains Olher <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�705 <br /> I hereby cerilify that I have read and examined this applicalion and know the same to be lrue and correct. Ail provisions of laws and <br /> ordinaces governing lhis type of work will be complied wilh whelher specified herein or not.The granting of a permit does not presume <br /> Ito give aulhority to violate or ca cel the provision of am�Ih�r state or local law regulating construcGon or the performance of <br /> construction. Th I am aulhori d by the owner o(this Froperty to perform the work tor which application is made and I comply wilh the <br /> I State Co Law 1827 R W and 296.200 WAC. <br /> Cp1 3 oS <br /> Signalu e of Owner/ , uthonze Agent Date <br />