Laserfiche WebLink
—� i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �_�3�p7 <br /> 425-257-8810 — FP.X 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM SE/�/`l DS"��6 �, <br /> SITE enORESS ' PARCEL TAX I.D.# PER IT# <br /> ��J C1.fiY1Gl'J1J �a3 �l-00000 �ioo 62o� �4az a� � � <br /> LEGAL LOT NO. �BLOCK TRACT �r� �� ,D � n 1 �,^ , �7 � <br /> oESC. 6i ,�� �3 '1�79f d-Y�Q-Sf�D 7l�St�cRr'i�Y1�IC .�ti� /O (l� ' � �� <br /> � � c <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �/���� � <br /> C'v„a r,�Ey �o�ar ��C i�G o� •i H�.c�� �2 S�. /ni�.cEet� W A� .F2,Y •35�- 6�8� <br /> T2NAN'fNAME CONTACTFORPERMIT PHONE <br /> �NA�CLFS /�o2LqN ys5- 353-e2BSg <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING I HEAT SOURCE �ONTRACT PRICE OF WORK <br /> � � <br /> 5'rN��c I'A����Y /�u7NNomE _ Electric �Gas_Other /6� 00 a <br /> WORKDESCRIPTION C���.7QLCf �S ��NG�-E �HMi�Y TOwN �mbS <br /> I.�s, c. 1o�n haus� l�Jlia-� - 7y/.� � <br /> (.�+�u,t l�" <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. NPt OF FIXTURE OR ITEM <br /> � Toilet � A/�,-air handling units <br /> 1 Bathtub L Forced air systems <br /> � Lavalory(wash basin) �� Gas pipinc� <br /> Shower � Waler healer <br /> � Kilchen sink&disposal � Ga�fireplace <br /> L Dishwasher �_ Gas range <br /> _L Clothes washer / Clolhes dryer <br /> _ Laundry tray �_ Range hood <br /> Sink (servicelbar/mopletc.) g� [xhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit healer <br /> Drinking Founlain Dciler <br /> Floor drain Rehi�eiation <br /> Grease lrap Woodstove <br /> Roo(drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lha+ I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces goveining ihis type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> lo give authority lo violate o:cancel the provision of any other siale or local law regulating consiruction or the periormance of <br /> consiructioa Thal I am authorized by the owner of lhis properiy to perform lhe work for which application is made and I comply with Ihe <br /> State Conlreclors Law 18.27 RCW and 296200 WAC. <br /> � � C� 23 AP2 07 <br /> SlgnaWre of OwnedCont odAulhorized Agent Date <br /> __ \/L <br />