Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ,.,a,9�v <br /> SITE ADDRESS PARCEL TAX I.D.# PE IT# <br /> y:32Co �� � evv��,�' S�r�'ve. oosss'6c�ooa.zioo �009 ' .7'�� <br /> LEGA LOT N . BLOCK TRACT OR SUBDIv�^iON A / <br /> DESC. � I P IGt'F !t� ��(,l (�YJ70nT <br /> ONMER ADDRESS '� CITY2IP PNONE <br /> i m�ts p ._L/Fs �,'3�(� 1?/Glc�rnc n�` ,Or FulsP�9K.2�3 y�s sz�/ Y2 S/ <br /> TENANT NAME CONTACT FOR PERMIT PHONE y2,r s-p� y,�S J <br /> �i r'�" '�'�• ='N`t 1 m i lPS t'GU7�rat7�:/7r� <br /> E-MAILJ <br /> CONTR.LICENSE M <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �\PJiL�I'hnG � , � <br /> Electric ✓Gas Other � CCc <br /> WORK DESCRIPTION <br /> t=Xf�nSiu.� �'� c�<< � izlv„� bu�� ��f hat�se . %i eKft•izvo� u�il/f.x /C•f�f <br /> �c/n_�om u��nclucv -f f�le d��� ¢��U1�e rrplu�� <br /> lor� � G�f r°F� w�'��c% . l� �i ' � t <br /> U.� 1•. Ct S���Pv of t�k :��rK w�,rl�/, . �e�JI4�-� c.uri�nf'c��c�ii�h 3-""7�►cP . <br /> �--� <br /> PLUMBING MEC4ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas pipi�g <br /> Shower Water heater <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heatpuinp <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> �loor drain Refrigeration <br /> Grease trap Woodstove <br /> Roo(drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I hereby certify ihat I have read and examined this appiication and know the same to be true and correct. All provisions o(laws and <br /> ordinances goveming this rype of work will be complied with whether specified herein or not. The granting of a pertnit does not presume <br /> to give authority to violate or cancel the provision ot any olher state or local law regulating construction or the performance oi <br /> conslruction. That I am authorized by the owner of this property to peAorm the work forwhich application is made and I comply with lhe <br /> State CoNractors La.v 1827 RCW and 296200 WAC. <br /> �;,.,� �. I� �/.���� <br /> Sig ure of OwnedContractor/Authorized Agent Date <br /> �- �/c <br />