Laserfiche WebLink
l <br /> PERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR ;;TREET, EVEPETT, WA P8201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SI ADDRESS PARCEL TAl(I.D.# FRMITN <br /> / " � ,•� ' Sc":- U,���C�� �1.(i�CS-G2Z� <br /> LEGA l0T NO. BLOCK 1RACT <br /> DESC. 7 0,;�fl,,,��� s f DrJ Q l.�o/ 8' A.vGr"/P <br /> OWNER ADORESS CITY2IP PMONE <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> T�� i � %A,%.c�o� .360-6 �i � �-s7 <br /> CONTRACTOF: ' ADDRESS CITY2IP PHONE <br /> o�r.t��vr� /6 e.�e.c�9� itrv2v'•�- �O �Sf Zo1 (G�t�ovis�f'y//s ,�6o_G 9/-�8 � <br /> C�Or�NTR.UCENSE N p��r ���������— w�¢ ? $j s Z � <br /> /�./O�r� ���0 / �� `� / 3G�708 r� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eleclric �Gas_Other I <br /> WORK DESCRIPTION I�S � ,U l•' � <br /> �'i�� � ,�s�� � ����o �,�,� � l� �����-�,�f <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel AIC—air handling units <br /> ,�_ Balhtub Forced air systems <br /> j � Lav�tory(wash basin) Gas piping <br /> � Shower � Walerhealer <br /> _L Kitchen sink&disNosal _L Gas fireplace <br /> _,L Dishwasher _� Gas range <br /> / Clothes washer _L Clothes dryer <br /> ,�^ Water heater 1_ Range hood <br /> / Sink(servicelbar/mop/etc.) � Exhausl ian <br /> Back(low preventer Heal pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain _ Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceritify that I have read and examined lhis application and know the same to be true and cortect. All provisions of laws and <br /> ordinaces governinc�this lypE f work will be complied with whelher specified herein or noL The granling of a pertnit does not presume <br /> to give authorily to violale or cancel Ihe provision of any other stale or local law regulating wnstruction or the peAortnance ot <br /> construclion.That I am authorized by Ihe owner oi this property lo perform the work tor which application is made and I comply with the <br /> Slate Contractors Law 18.27 RCW and 296.200 WAC. <br /> �{/,l ' sf a �oab <br /> S' alu�ei o( wnedContractor/Aulhorized Agent ale �/� <br />