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 6 AM TO 4 PM ��` � 9_/(� <br /> SITE ADDRESS PARCEL TAX I.D.# P RMIT# <br /> hC �j% �!.(L��� � oC [� �� �JL����v���(�.�nO ��� -� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p 3 <br /> DESC. �Z� � ��.'�'n.�Z�7 / <br /> OWNER ADDRESS CITYIZIP PHONE <br /> l,r�l'3q �� C-�I�'�-�cC�=� ��E •✓ �C�lv �c- f=ti�X- ��'_7G- C �(;�"C'L�ll�lVlLl.� �`��C <br /> TENANT NAME CONTACT FOR PERMIT / PHONE 7r <br /> V�i�'��C. �l, V� I�V�� �� J�.�1C� ,��7(<.i�' �)� .�� l,�%E-MAILvI �.� �L� � ! yyC�� <br /> O T $I , t ' � ' � A DR IZI . . <br /> IA�j-��y F�l�/(�:S U��Ei�.l CC�'I�'ll}�/lrle.�:'(t:�� . <br /> CONTR.LICENSE p /�,�`�� ���� ,� �,� /,�)�/ � /% <br /> lG L <br /> USE OF BUILDING HEAT SOURCE CUNTRACT PRICE OF WORK ,dl'1� <br /> F'�E J� l.�� l�l� � __Eledric �Gas_Other �• � �'('�'�• ���� <br /> / <br /> WORK DESCRIPTION <br /> �C� r�'r, ��-�.�l�i � i�7� ptt F�� �_�:� n�lL 1=�z,��7�1=�i�iNi la�` a� <br /> PLUMBING MECHANI�AL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handliug units <br /> Dathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink&disposal _ Gas fireplar,e <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/elc.) _ Exhaust fan <br /> BackOo�v preven�er _ Heal pump <br /> Urinal Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor Arain Refrigeration <br /> Grease Irap _ Woodstove <br /> Roof drains Other <br /> = Other = _ — I <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3705 <br /> I hereby certify that I have read and examined this application and know ihe same to be Vue and correcl. All provisions of laws and <br /> ordinances governing Ihis lype of work will be complied wilh whelher specified herein or noL The granting of a permi�does not presume <br /> �o give aulhorily lo violate or cancel the pwvision of any other s�ale or local law regulating construction or the periormance o( <br /> construclion.7hat I am authorized by the owner of this property to periorm the work for which application is made and I comply with ihe <br /> State G.}�tractors Law-18,77 RC�W and 29G200 W/�C. <br /> ,�i :l��.c< <« l�h �{�r �� �E��� -�� %�'/'d "/ � �, <br /> Signalure of OwnedContra �or/Au�horize Agenl Date �/ <br /> � <br />