Laserfiche WebLink
t` : � <br /> i <br /> PERC�'lIT APPLICATION r y <br /> CITY OF EVERETT PERMIT SERVICES , �� ; <br /> 37_00 CEDAR STRF.ET, EVERE7T,WA 98207 I� <br /> 4<5-257-8810—FNC 425-257-8857—vnvw.everettwa.org �� ! <br /> APPLICATION3 ARE ACCEPTED FROM 8 AM TO 4 PM -DEBiT 8 CREDIT CARDS ARE NOT!.CCEPTED <br /> SITE ADDRESS "FT" /� PAR EL TAX I.D.il PERMIT# � ; <br /> /9�ot ti+��� c�i� � ��6 � O ; <br /> LEGA LOTNO. B OCK TRAC'i �O�O � �ZOO I <br /> DESG � <br /> 1 <br /> OWNER ADDRES3 CITYILP PNON� i <br /> FFJ�t�LflH�1��►?L.�. 55/o MDpEi,bvSELft•. Sv?�2ov� srWA'�6n, G 9Z/ZJ j <br /> TENANT NAM[ CONTACT FOR PERh11T PHONE � <br /> FF sSt�c�Msn�G,P. I � �b'V��oy�f�i►'T �.P• B�7 2/z3 � <br /> CONTRACTOR ADDRE33 CIiYILP PHONE I <br /> CON7R.LICENSB 9 � <br /> i <br /> USE OF BUtLDID'3 � HEAT 30URCE CONTRACT PRICE OFYJORK ' <br /> A,p�,��F�'�L���/'�� I �Electric _Gas,Omer I�,Q����Q. BD f <br /> WORK DESCRIPiION � <br /> /8-3 57'afZYht'J17`TMEKI'" �LvtA'A'65 � <br /> i <br /> � <br /> PLUMBING MECHANICAL i <br /> NO. TV�E OF FIXTUPfi OR ITEA1 N0. T7PE OF FIXiURE OR IiEM i <br /> Tollet • NC—air handlin7 unils i <br /> Bathlub• Forced air cyslems <br /> Lavatory(vnsh basin) • Gas pping <br /> Shower �fL Wel�rheater- ; <br /> ?�� Kilchen sink R disposal � • Gas firepWce �' � <br /> �/Q Dishwasher• ` Gas renge , <br /> Z� Ciothes washer• Clolhes dryar• ; <br /> Laundry Iray ,.'��� ' � � Range hood • � <br /> _ Sink(servicelberlmop/elc.) g(�f� Exhaust fan• i <br /> _ Oac�Bowpreven(er Heatpump � <br /> Urinal . �� Unit hea � <br />� _ Drinkincj Forntain Boiler j <br /> � _ Floa`drain � Ref' e2tion ; <br /> _ Grease Irop � odstove � <br /> ,Roof drainc � thcr <br /> ,_� Other _ <br /> — — i <br /> _ i <br /> . CITY OF EVERETT LOCAL SAIES TAX CODE IS 3106 � <br /> _____._ � <br /> I hareby caritify that I have read and axamined lhis appl'rcation and know the same to be We and correct. All provisions of laws and <br /> ordinaces goveming Ihis type of work will ho complied��sth vrhe+her spedfied herein cr not.The granting of a pertnit does not presume <br /> to give aulhority lo viotate or caneel tho provi;ion of any other stoto or local low regulating consWetion or tha pedormence of <br /> constru ' n t I om autbonud by Ihe osvner of lhis proparty t.,pedorm the�vork Por which application is made and I compty wllh the <br /> Stot ontrado. La ' a 2�J�.200 WAC. <br /> �G l'���IO�Oh <br /> Sgna ure o nen onlractod ut iorized Agent ate <br /> f�/r°�M./tA�+�l s Mr� <br /> � <br />