Laserfiche WebLink
P'`r�MIT APPLICATIG�J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 987.01 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S �a Cf��� <br /> SITE ADDRESS/ PARCEL TAX I.D.# PERMIT# <br /> /�� �.� •S� U .�BOc���O �_/CYiS—O/S <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION H <br /> DESC. �.. � <br /> OWNER ADDRESS CITYIZIP PHONE��Cj�963 <br /> /l/ � � iz P,4-ri��� �5����.r,� s�,�,� �,e- <br /> TENANT NAME C NTACT FOR PERMIT PHONE <br /> /�L,��7 �Q Ll�� /L� � L E•MAIL <br /> L`aF�TRT�' R A DRESS T 11 <br /> �(�C).v'L;,2,�i�G/�Ji1TiJ. <br /> CONTR.LICENSE k <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eleclric Gas Uther <br /> WORK DESCRIPTION <br /> J/���i�nc�/� ���7-��' ,��C!Hv��- �'� ltfoc-� <br /> �� i� �— �/XTv2�� �f1naJ��?j jo i�� ��'.[��' <br /> �} iC. . G ` ^— X Tv.2� � G��- F/xTC>2F S <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet NC -air handlina units <br /> � Dathtub�.9 4�•���.� _ Forced air systems <br /> Lavalory (wash Lasin) Gas piping <br /> Shower Waler healer <br /> I<Itchen sink 8 disposal Gas(ireplace <br /> Dish�vasher Gas range <br /> Clolhes washer Clothes dryer <br /> Waler heater Range hood <br /> � Sink (service/badmop/elc.) Exhaust lan <br /> 6ack0ow preventer Heat pump <br /> Urin21 Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Rehigeration <br /> Grease trap Woodstove <br /> Roo(drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerfify Ihal I have read and examined ihis applicalion and know Ihe same l0 6e true and correct. Ali provisions of laws and <br /> ordinances goveming this�ype of work will be complied with whelher specified herein or not. The granting of a permit does not presume <br /> to give authority to violate or cancel the pwvision ol any olher state or local law regulating construction or the periormance of <br /> consiruction.That I am authorized by the owner of this property lo peAorm Ihe work for which application is made and I compty with ihe <br /> State CoMradors Law t8 2�7 RCW and 296.�J0 WAC. <br /> . =;i���� � -1 t«e-^-- ��"�7 /IV ' <br /> Signa�urcfof wner/CoiilractodAulhorized Agenl � Date . <br />