Laserfiche WebLink
—- -- � —- --- <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEUAR 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 <br /> SITE ADDRE55 PARCEL TAX I.D.il PERMIT# <br /> � -i-- -- � c � �o � Do - olo/ <br /> LEGAL LOT NO. 6LOCK TftACT OR SUB�IVISION fl <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �J I�''I�L ��= �D40�t.�1-.A�-1�� /�-Jc EVF�-E`[C <br /> TENANT NAME CONTACT FOR PERh11T PHONE <br /> I �T�'.� V� �C+F-�'� �l E-MAIL� ZSZ Z7� <br /> LbN�A T R ADDRE 5 CIT IZI H <br /> � cwUr� <br /> CONTR.LICENSE# <br /> USE OF BUILDING IiEAT SOURCE I CONTRACT PRICE OF WORK <br /> l,� � i _Eleclric _Gas_Other �� �� <br /> J <br /> WORK DESCRIPTION <br /> ��ir� I �f �, k1�� 'Fa� ��1.. pR�-� u� �1��.�: <br /> �1 � {� {�l-� /�E��/ /fl- o�/ <br /> PLUMBING MtCHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> �nil�t A!C-air handling units <br /> 13alhtub forced air systems <br /> Lavatoiy(wash basin) _ Gas piping <br /> Shower _ Waler heater <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwashcr Gas range <br /> Clolhes washr.r Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmop/elc.) _ 6xhaust fan <br /> Dackflow prevenler Hea�pump <br /> Urinal Unil healer <br /> Drinking Fountain Boiler <br /> Ploor drain _ Refrigeration <br /> Grease Irap Woodslove <br /> Roof drains Olher_ <br /> Other <br /> CITY Of EVERETT LOCAL SALES TAX CODC IS 3;05 <br /> I hereby ceitify lhal 1 have read and eramined ihis application and know Ihe same to be irue and correct. All provisions o(laws and <br /> � ordinances governing Ihi,type of work will be complied wiih.vhelher specified herein or noL The granting o�a pertnil does not presume <br /> j lo give authority lo violale or cancel Ihe provision of any other slate or local law regulating consiruction or the periormance ot <br /> construc'ion. Tha� I am aulhorized by ihe owner of Ihis property to peAorm the work for which application is made and I comply wi�h 1he <br /> � State Contractors Law 18.27 R , and 29G200 WAC. <br /> �4 <br /> —r� r-- �� � "�_7�21 a <br /> Si f a ure o(Ow�ctodAuthonzed Agent ale � <br /> 1 <br /> L <br />