Laserfiche WebLink
F �RMIT APPLICATIt�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org j� ��5 <br /> APPLICATIONS ARE ACCEPTFD FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PF�MIT A <br /> i <br /> / `r.r � /�7arCC �i• DaGOS'/ D 00 _ �_��� "Z� <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. � d V � <br /> OWNER � ADDRESS CITY2IP PHONE <br /> ��tic,� d ��.a �cEci,vF l/��o v /5,�� �+���� sr ELc.2e7/ �� �'�1s') 3o3-a693 <br /> TENANTNAME ONTACTFORPERMIT PHONE <br /> �Ar1�rC �S A$pVi <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE M <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> /� F c> p Fn�� F �Electric LC Gas_Other ��� <br /> WORK DESCRIPTION � <br /> i:�O�TIn/J l F�_� P001' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> i Toilel A/C—air handling units <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> "� Shower �� Waler heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> % Clolhes washcr � Clothes dryer <br /> � Laund lra Range hood <br /> I — Sink(service/badmop�etc.) � Exhausl fan <br /> BackOow preventer Heat pump <br /> I Urinal _ Unit heater <br /> Drinkinc�Founlain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> I hereby cerili(y lhat I have read and examined this applicalion and know the same io be lrue and cortect. All provisions of laws and <br /> ordinaces governing this lype of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authoriry to violate or cancel lhe provision of any other state or Iocal law regulaling consWction or the performance of <br /> conslruction, ihat I am autliorized by the owner of Ihis property to perform the work tor which appiicadon is made and I comply wilh the <br /> Stale Coniractors Law 18.27�and 296.200 WAC. <br /> , � � A _._ . . a�$��^�AvOS` � <br /> L.� <br /> Si�naWre of OwnedContrector/Authorized Agent Dale I� <br />