Laserfiche WebLink
PERMIT A.r'QLICATION <br /> CITY OF EVERFTT PERMIT SERVICES <br /> 3200 CEDAR ST REET, 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 ADDRESS PARCEL TAX I.D.N P RMIT# <br /> `GC_�"� �/���,� �(�(��. �C' �,� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. ��"� ��� �..�Y� A�,;=�s <br /> OWNER ADDRESS CIiYIZIP PHONE �� <br /> \/L I__� �—' � ��'I.�ti'��C,'�—' `-�"\�-t�c� ���3 Z�2-3�j � <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRAC70R G ��,,.��i��-1 AD�RESS CIN21P PHONE <br /> CONTR.UCENSE tF <br /> USE OF BUILDING S(1JCL�j�.-(ly�� HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ���-��/L�L I�% Z I�L� ��Eleclric �Gas_Olher <br /> WORK DESCRIPTION <br /> �C>�/����� �Li�'l <br /> PLLIMBING MECHANICAL <br /> NO. NPE OF FIXTUFiE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling unils <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower SVater healer <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Cbthes dryer <br /> Waler healcr Range hood <br /> Sink (serviceNar/mnp/e1c.) _ Exhaust fan <br /> Backflow preventer _ Hea�pump <br /> Urinal Unil heater <br /> Drinking Founlain _ Boiler <br /> Floor drain Refrigerelion <br /> Grease Irap _ Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF[VERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilily that I have read and examined lhis application and know Ihe same to be lrue and correcL All provisions of laws and <br /> ordinaces governing Ihi;lype of work will be complied with whether sp�.:�i(ed herein or not.The granting o(a permit does nol presume <br /> to give auU rity to violale or cancel lhe provision o(any other slale or local law regulaling co�struction or ihe performa�ce of <br /> construclior�.Thal I am authorizndt� the owner of this property to pedorm lhe work for which application is made�n0 I comply wilh lhe <br /> Slale Conl aclors Lsiw 18.27 �W d 296200 VVAC. <br /> ,_.J � ^ «� <br /> e r <br /> Sig�� re ot O� e�/Cbntraclor/Authorized gent Date / <br /> I Z <br />