Laserfiche WebLink
-( , <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERElT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE 11CCEPTED FROM 8 AM TO 4 PM <br /> I`� Z DDRESS n'� W(��E� / Z�aOO ZO I I P/�/ (J `-'/ li/ <br /> <r <br /> LGGAL L NO. LOCK TRACT R SUB IStON lf <br /> oEs�. Z 2�� �-o� � - UT �'o �3l 2�K D-ol N�5'�' �1,z5' <br /> O�WNER ADDR SS qTYlLIP PF10NE Q�Z <br /> Gln�'ue ��—lwv;alif /�f Z I /�luA�� ,5�� `��20� Zo�F'- 6q`l-6�f7( <br /> TENANTNAME CONTACTF PERMR PHONE <br /> E�AINL <br /> CONTA.LICENSE A <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> s�L1 I E -�� �I _[leclric �Gas_Other <br /> WORK ESCRIPTON <br /> 7� �A � Q i(4� ��4� D �/'�t47 � RL 4C� • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF FlXTURE OR REM <br /> Toilet NC-air handling units <br /> Bathlub �orced air systems <br /> _ Lavarory(wash basin) �. Gas piping <br /> Shower Waler heater <br /> Kilchen sink&disposa� � Gas fireplace <br /> _ Dishwasher _� Gas range <br /> Clothes washer Clolhos dryer <br /> Water healer Range hood <br /> Sink(service/bar/moplelc.) _ Exhausl fan <br /> Backllow prevenler lieat pump <br /> Urinal Unit healer <br /> Drinking founlain _ Boiler <br /> floor drain Relrigera�ion <br /> Greaso Irap _ Woodstove <br /> Roof drains Other _ <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TA%CODE�S 3105 <br /> I hereby ceritily that I have read and examined Ihis application and know ihe same to be true and correcl. All provisions ol iaws and <br /> o�dinaces governing Ihis lype ol work will be complied v.dlh whelher specilied herein or nol.The granting ol a permit does not presume <br /> lo give aulhoriry to violate or cancel Ihe provision of any olher,tate or local law regulating conswction or the performance ol <br /> consiniction.That I am authorized by the owner of this property to perlortn Ihe work lor which application is made and I comply with the <br /> Stale Contractors Law 1827 RCW and 296200 WAC. <br /> ��•�� - ,.�,� O' l - l 1 -�C�C�B <br /> SignaWre ol OwnedCortractodAuth � zed Agent Date <br />