Laserfiche WebLink
PtRMIT 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 /> APNLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7 ` �c��Q � <br /> SITE ADDRESS PARCEL TAX I.D.tF PERMIT k <br /> " (c � o�t-l�s �4�. �� ey3 ib�� C�7o7- o <br /> LEGAL LOT NO. 6LOCK TRACT GR SUBDIVISION# <br /> DESC. <br /> OIYNER ADDRESS CITYIZIP PHONE � <br /> s�ti� �� r�so� a � �r� 5oyl �yzS q8z <br /> 7ENANTNAME CONTACTFORPERMIT PHONE <br /> ('LC)/ll-�I� E-MAIL <br /> —G6NfRA T R ADDRESS � /�� <br /> CONTR.LICENSE N <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> � Toilel A/C—air handlinc� unils <br /> Bathtub Forced air systems <br /> .j_ Lavalory(wash basin) _ Gas piping <br /> Sho�ver _ Waler healer <br /> � Kitchen sink 8 disposal _ Gas(ireplace <br /> Dish�vasher Gas ranr�_ <br /> Clothes washar Clothes dryer <br /> � '.Nater healer _ Range hood <br /> Sink(service/bar/mop/elc.) _ Exhaust fan <br /> Backflow prevenler _ Heat pump <br /> Uriral Unit heater <br /> Drinking Pountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease Irap _ Woodsteve <br /> Roo(drains Other <br /> Other <br /> � CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br /> I hereby ceritify that I have read and ezamined lhis application and know Ihe same to be true and correct. All provisions of laws and <br /> ordinaces goveming lhis type of work will be complied wilh whether specilied herein or not.The granting of a permil does nol presume <br /> lo yive auth�rily to violate or cancel lhe provision u(any other state or local law regulating construction or the pedormance of <br /> conslruction.That I am aulhorized by the owner of this property to peAorm Ihe work(or•.vhich application is made and I wmply with the <br /> State Conlractcrs Law 18. RCW and 296.200 WAC. <br /> ,�1�t � ��� L. 7�i5/� � <br /> Sign�Wre of OwnedContrector/Authonzed Agenl Date �' <br /> � <br /> L — --- — ----- — <br />