Laserfiche WebLink
I <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS ��2� Me��1�1�1�'l PARCEL TAX I.D.# P RMI� <br /> �� ao '� �50 00/�05 � 7 3 - a <br /> DESC. � IOT�NLO.' o� �y °T �, yP Izoz-31� t1� , -�, <br /> OWNER ADD 5 CITYIZIP PHONE 2���r��� <br /> �4arl�� O���v► ��2b Meri�C'av� c(,� W �v ��t�il3 � � <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> d� O� N� ''i--�. <br /> CONTRACTOR OW t 'f�p ADDRESS CITY2IP PHONE <br /> �v Fi�� <br /> . .. „„' ,. <br /> CONTR.UCENSE# . .+•K�'��` • • •�' .'• : �' �' ��� .�1 . . ` • <br /> USE OF BUILDING HEAT RCE � �� • CONTRACT PRICE OF WORK <br /> ���a _Electric _G _Other <br /> WORK DESCRIPTIO <br /> �c,u d2�;c��. �ua�e. vto I�a,t�- V�o pl�wwl�-�'v�— - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE 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 /> Kilchen sink&disposal _ Gas tireplace <br /> Dishwashcr Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(serviceNar(mop/etc.) _ Exhausl fan <br /> 6acl flow preventer _ Heat pump <br /> U�fiai Unit healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Re(rigeralion <br /> Grease trap _ Woodslove <br /> Roof drains Other <br /> Ofher <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> I hereby ceritify lhat I have read and examined this application and know lhe same to be true and correcL All provisions of laws and <br /> ordinaces governing this lype o(work will be complied wilh whether specified herein or not The granting ot a permit does not presume <br /> to give aulhoriry to violale or cancel lhe provision of any other state or local law regulating consWclion or Ihe pedormance oi <br /> conslruction.Thal I am authorized by the owner of this property to peAorm the work for which applicalion is made and I comply wilh ihe <br /> Stalo Conlractors L 1�8.2 RCW an 29G.200 WAC. <br /> �v� a'dYl � � � �a <br /> SignaWre of OwneNContractor/Aul nzed A nt Date I� <br />