Laserfiche WebLink
---- �T/ // , . <br /> � 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 � �' v vrD <br /> SITE ADDRESS _�. PARCEL TAX I.D.# PFRMIT# <br /> � �- � },� _ [' �Q7 �-Obs <br /> l.[GA LOT NO. BLOCK TRACT OR SUBOIVISION# <br /> DESC. — <br /> OWNER ADORESS CITYIZIP PHONE <br /> ����n��n� — <br /> TENANT N E CONTACT FOR PERMIT PHONE <br /> E-MAIL <br /> TR CTOR ADDR SS ITYIZ P O E <br /> CONTR.LICENSE N <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION , � <br /> 1,��.��c �c�� <br /> PLUMEING MECF�ANICAL <br /> Np, TYPE OF FIXTUfic OR ITEh7 NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ A/C–air handling units <br /> Oalhtub _ Forced air systems <br /> Lavatory(wash basin) _ Gas pipiny <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Cish�vaaher _ Gas rangc <br /> C lothes washer _ Clothes dryer <br /> Waler healer _, Range hood <br /> Sink(servicr:/badmop/etc.) __ Exhaust fan <br /> Dackllow preventer _ Heat pump <br /> Urinal _ Unil heater <br /> Drinking Founlain _ doiler <br /> floordrain _ Refriger3�ion <br /> Greas�lrap _ Woodr;ove <br /> koof drains _ O'yer_ <br /> Olher __ — — <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 3705 <br /> I hereby certify ihat I have read and examined Ihis applicalion and know Ihe same lo be true and correct. All provisions o(laws and <br /> orJinances goveming this lype of work�vill be complied with whether specified herein or nol The granting of a pennil does nol presume <br /> to give aulhority lo violate or cancul lhe provision of any other slale ar local�aw regula�ing construdion or ihe performance of <br /> construcpon.�I�hal I am authorized by the owner of this property to perfonn the work for which application is made and I comply with ihe <br /> Stato Conlractors �v 18,27 RCW and 296200 WAC. <br /> i , � �,� <br /> /� <br /> G / <br /> -�i t' �1� �/ C G`��%7..'t��j P�!t.-�L i�• G L <br /> � D te <br /> ig aWre o�OwnerfConiractor/Auth ¢ed Agen� ,� <br /> i <br />