Laserfiche WebLink
P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE AC^EPTED FROM 8 AM TO 4 PM <br /> .SITE ADDRESS PARCEL TAX I.D.p PERMIT p <br /> , _.. �.��3 i� ��U� �p�� /�r ,�n� �. -c� � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION k <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> I�z����;�-�_D A��v f?,;��'/�N�✓��S�G' l�� � i//A/�d� t/rE� bi�. — ,i c / <br /> �-�v��« ��z o <br /> TENANTNAME CONTACTFORPERMIT PHONE ' <br /> t-MAIL <br /> �p 7p TYIZIP H <br /> CONTR.LICENSE k,����� C���S ����. <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric _Gas_Olher 5 n/� <br /> WORK DESCRIPTION <br /> L`7c( `��-7 //� '� �-�-ic�l�l <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling unils <br /> _ Bathtub Forced air systems <br /> _ Lavalory(wash basin) � Gas piping �� <br /> Shower Waler heater <br /> _ Kitchen sink&disposal � Gas firuplace <br /> Dishwasher Gasrange <br /> Cbthes washer Clolhes dryer <br /> Waler heater Range hood <br /> Sink(service�badmop/elc.) Exhaust(an <br /> 6ack(low prevenler Heat pump <br /> Urinal Unil heater <br /> Drinkiny Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap Woodslovo <br /> Roo(drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerili(y that I have read and examined this applicalion and know the same to be lrue and correct. All provisions of laws and <br /> ordinaces governinc�Ihis type ol work will bc complied with whether speci(ied herein or noL The grantiny of a permil does not presume <br /> lo give aulhorily to violale or cancel ihe provision of any olher state or local law regulaling consiruclion or lhe performance cr <br /> conslrudion. Thal I am ar.thorized by Uie owner of this property to perlorm the work(or which application is made and I co�npty wilh Uie <br /> Stale Contractcrs Lnw 18.27 RCW and 296.200 WAC. <br /> a.1 ► � o� <br /> Sic�naWre ol OwnedContraclor/Aulhorized Agenl D te <br />