Laserfiche WebLink
r <br /> , r —• —_—__.__. _—____ _1 — � <br /> PERMIT APPLICATION i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8657 -www.everettwa.org <br /> APPLICATIONS ARF:ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS ���� Z'n a �� PARCEL TAX I.D.# PERMIT il <br /> �,.��� w zo I o0�4��0094�00 ��105-ou{ <br /> LEGAL LOTNO. �LOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE q'Z�O—Z�� - <br /> J <br /> �\c,vr�d�r Ao��s�r�ci(.� �. . ` .Z��R .c�c� . `�vPC��_�i7c�'3 � — <br /> TENANT NAME �—��� CONTACT FOR PERMIT PHONE <br /> �.?�at��" <br /> \�t�`�i�'l��SS�r�Nc r 4��,A ,: _ <br /> CONTRACTOR � �. �ji�/— ADDRESS ( ��i/ �.� L CITYILP PMONE ,j �`� — <br /> n��'l �1/ �tJr�S����� rz'� l 2✓'fi�� �`� � , <br /> �� (.`�c����., ��� i� �!��,/,l:n., ��15�-)'7��" <br /> �� �CONTR.LICENSEb�Ury�jNT����� �� � � � � � ��� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> 1' �j <br /> �� (�� _Electnc �Gas_Other ��� , <br /> �1 i �WORK DESCRIPTION � <br /> ,�� c,r�.�� o��- ��� 9a:� w�:,t�x `�e�,;� • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITLM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ AlC-au handling unds <br /> Oathtub _ Forced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Shower _L Water heatei <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher __ Gas renge <br /> Clothes washer _ Clothes dryer <br /> Laundry tray _ Ranga hood <br /> Sink(service/barlmoplelc� _ Exhaust tan <br /> Back(low prevenler _ Heat pump <br /> Unnal Unn heater <br /> � Drinking Foun�ain _ Boilei <br /> Floor drain _ Refrigeratwn <br /> Grease trap _ Woodslove <br /> Roof drains _ Other <br /> Other _ — — <br /> _ � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y lhat 1 have read and examined ihis application and know the same to be Vue and correct. All pmvisions of laws and <br /> ordinaces goveming lhis type ol work will be complied with whether specdieG herein or not The granting of a permit does not presume <br /> to give authority to violate or cancel the provision uf any other stale or local law regulating constmcGon or the aertormance el <br /> constructioa That I am aulnorized by the owner ol this property to pertonn ihe vrork for which applicalion Is made and I comply with the <br /> State Contradors Law 1827 RCW an j 96200 WAC <br /> W � -- -- , �-�1's'---I`,'J <br /> Signalur o OwnedContractoi/Au o _ea gem ��a�e r� <br />