Laserfiche WebLink
P�r2MIT APPLICATIG�� <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 ',�J I�('J� � O� <br /> SITE ADDRESS PARCEL TAX I.D.It PF�RMIT A <br /> U PlL ✓�- 06'�� z. or�3� i a� -�3 <br /> LEGAL LOT NO. �LOCK TRACT OR SUBDIVISION N > <br /> DESC. 3 ^ _yzC �uJ D/U�Sion l s r Oa�i � O ? <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �-I�KC(.f1N� /�uA�EI -i-✓� � pU. /S0� bY�9 LRK[ ST��e�S , W,q SEz�g :{z�-3s� -►�6� <br /> TENANT NAME CONTACT FOR PERMIT PHONE yzS. 3SL ��L J <br /> STEU�., (�.1�9,2$�S E�MAIL <br /> R S�,vr e <br /> CONTR.LICENSEN 1�k�L�I OOI ,1L (QOZ VZZ L+G.3 <br /> � USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK � <br /> S'r-rZ _Eleciric �Gas_Other <br /> WORK DESCRIPTION <br /> e���s-r,�v�7aN o�-- z�s, r� s�'� . <br /> � <br /> PLUMBING MECHANICA� <br /> NO. TYPE OF FIXTURE OR ITEM . NO. TYPE OF FIXTURE OR ITEM <br /> �j Toilet � �� A/C-air handling units <br /> 2 8alhlub � Forced air sy5lems <br /> _,_ Lavatory (wash basin) �'�-�- Gas piping <br /> / Shower I Water heater <br /> _` Kitchen sink&disposal I Gas fireplace <br /> / Dishwasher 1 Gasrange �/�- <br /> � Clothes washer 1 Clothes dryer <br /> �i, Waler heater � Range hood <br /> Sink (service/badmopletc.) � � Exhaust fan � // � <br /> BackOow pievenler Heat pump <br /> Unnal Uni�heater , <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease Irap Woodstove <br /> Roo(drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceAify thal I have read and examined this application and know t'ie same to be true and correct. All provisions of laws and <br /> ordinances goveming ihis type of woik will be complied with whether;pecified herein or not.The granting of a permit does not presume <br /> to give authoiity to violate or cancel the provision of any other ste!a or local law regulating construction or the performance of <br /> construction. That I am authorized by the owner ol this property to peAorm the work for which application is made and 1 compty with ihe <br /> Stale Coniractors Law 1827 RCW and 29G200 W�C. <br /> 4 3�6 io <br /> SignaWre � �d�nt�Aulhonzed Auent I Dale �/� i <br /> '-- ---- ----- __ — — � - � <br />