Laserfiche WebLink
P�RMIT APPLICATIOrN <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 <br /> SITyE ApDDR/E,SS {l �) ,{� /J PARCEL TAX I.D.# p MIT�#7 �J <br /> 70 � 1 N rr /�%d l° (/�G�IGY C��� ) ���'�� ?i � �G �G <br /> LEGAL LO 0. BLOCK TRACT <br /> oesc. C';� n? i x.r� �1�.-� J vdd�;�',��., ��� w z — iL ~o: <br /> OWNER �A��yRESS CITY2IP pHONE <br /> ��,� j�.l��.�! � l�fi° ;�F'�'��� `# /u2 <'yr"u���� 'i�r ��T yrry <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> . . . , }�-'� :' �B.'��k� �/ll`� ylL srdr <br /> ., <br /> CONTRACTOR ��D� En7�i�r;1�/ A /�SV `'� � � � CIN21F PH�L� 7�r Hrry <br /> CONTR.LICENSE p .�- • 'v.' ' : �' tihuksY. �t� ' <br /> �l�.f��t1=-�`-c�:zi,3'c '° Z 9,�o)E <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S � �" _Eledric �Gas_Olher <br /> WORK DESCRIPTION <br /> �'oh;���l nP�v SF� das.� -�¢� <br /> ��� <br /> PLUMBING li1ECHANICAL <br /> NO. NPE OF FI%TURE OR ITFM N0. I TYPE OF FIXTURE OR ITEM <br /> Toilel WC—air handling units <br /> ` �alhlub Forced air systems <br /> �_ Lavatory(wash basin) � Gas piping <br /> Shower _L Water hualer <br /> � Kilchen sink 8 disposal _L Gas fireplac� <br /> Dishwasher _L Gas renge <br /> ___(_ Clolhes washer � Clolhes dryer <br /> � Water heater / Range hood <br /> Sink(servicelbarlmop/etc.) � Exhausl fan <br /> _ �ackflow prevenler / _ Heat pump <br /> Urinal �/ Unit heator j <br /> Drinking Founlain Boiler v <br /> Flocr drain Re(rigeralion <br /> Grease Irap Woodstove <br /> Roo(drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y thal I have read and examined ihis applicalion and know the same to be trur.and correcL All provisions of laws and <br /> ordinaces governing lhis rype of tvork will be complied wilh whelher specified herein or noL TYa granting o(a permil does nol presume <br /> lo c�ive aulhority to violale or cancel Ihe prevision of any other slale or local law regulating conslruction or the performance of <br /> wnslruction.That I am aulhorized by Ihe owner of lhis property to perform Ihe work for which applicalion is made and I comply wilh lhe <br /> Stat traclois L v 10.27 RCW and 296.200 WAC. <br /> ��` ,-tti� �Z�/� <br /> Signature o(OwnedContrac�odAuthonzed Agenl � � <br /> ��Z <br />