Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRFET, E`✓ERETT, '✓VA 98201 <br /> 425-257-8810 — FAX 425-25'-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCE''TED tROM 8 AM TO 4 PM � - a S- D � <br /> SITE ADDRESS PARCEL TAX I.�.# PERMIT# <br /> zzz� ���i.� a�E _ Co`�o�-ooy <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION i! <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> Q�.55�11 No11<.K I bNH N 7ooTy 5+ S�o.cl;�c tiKl3} `�`` ��• :� <br /> TENANTNAME CONTACTFORPERMIT PHON� yZy y��-��z$ <br /> (�'�SSCI� (-hllu( <br /> E-MAIL <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> pWNn./' <br /> CONTR.LICENSE# I <br /> USE OF BUILDING HEAT SOURCE CONT'RACT PRICE OF WORK <br /> Eleclric Gas Other <br /> WORKDESCRIPTION i�G!✓ oe,j+ot,� w�'nAo.�� I.�...�1��5 �.. i...�.� rae,.. <.1- be.l;ua.--� Sr�.�4. n..4..�.�� I <br /> �.�-.�.�-7 foan� <br /> cp.-��, F.....'�i nw b,.�r�.-. �+��..yH .v,� t.._„Hjr.on� , <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM I <br /> Toilet _ A/C—air handling units <br /> Bathtub _ Forced air systems i <br /> Lavalory(�vash basin) __ Gas piF�ing <br /> :lhower Water healer <br /> Kilchen sink & Aisposal Gas fireplace <br /> Dishwashcr Gas range <br /> 1 Clolhes washer �_ Clolhes dryer i <br /> Water heater Range hood <br /> Sink(servicelbar/mop/etc.) � Exhaust fan <br /> Back(low preventer _ Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain _ Boilcr <br /> Floor drain Re(rigeration <br /> Grease trap _ Wood,tove <br /> Roof drains Other <br /> Olhcr <br /> CITY OF EVERETT LOCAL SALES TF :CODE IS 7105 <br /> I hereby cerilify Ihal I havc re2d and examined lhis application and know the same lo be lrue and correct. All provisions of laws and <br /> ordinaces goveming this type ol�vork�vill be complied wilh���hether;pecified herein or noL The granting of a permit does nol presume <br /> to give auUiorily to violate or cancel Pie provision o(any olher state or local law regulating construction or the periormance o( <br /> consUuclion. Thal I am authorized by ihe owner of this property to perform the work for which applicalion is made and I comply wilh lhe <br /> Statc Contrac�ors Law,8.2a�RCW and 29G200 WAC. <br /> t��'''�� <br /> o�t - tS -L'�3 <br /> Sic �ik�dF OwnedContraclodAuthorized Agenl Dale <br /> 'r <br /> I _ _ — --- --- - - ' --' <br />