Laserfiche WebLink
PtRMIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U 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 /> SITE ADDRESS PARCEL TAX I.D.# P M # <br /> i `iZ� ►�u��.� Av . v��53zy5oi�Y�,��. ` � � = > > � <br /> LEGAL LOT NO. �w BLOCK TRACT OR SUBDIVISION# <br /> DESC. Ny' � I� Z� z`iS ��OC �-IILCoNS 1� /� � T�� �i/� t <br /> c- <br /> OWNER ADDRE55 CIN/ZIP PHON[ <br /> ����,., M �-�x �t�2G> RU�Kr �' pvy. �j/, y�z�� <br /> TENANT NAME CONTACT FOR PERMIT PHONE �LS- L>'z- i y fl L <br /> ,V�//VC�, JGf'//U �(��nSJ�I� E•MAIL Jn1L04J�'`-a%a{�[-(u�`�lviT <br /> C NTRACTOR p7 l7 A�V�I.a�/t'E�'+l (";�,J•��D S �.C. L'ok i L>'L4arnz�V. C��Z JS- � ZS ._Z S Z <br /> � r� <br /> CONTR.LICtNSE M ���JcOL9(„L�G_ l ` "Z' <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � <br /> �?. 1-,h, _Eleclric �_Gas_O�her <br /> WORKDESCRIPTION ��� S � ^ �4�m� ` ��-p�Y Nrw ry�,�c��' j�,��r�� <br /> �1 <br /> �NJ i'�qslci7.-.� t�J�1�"t � �XTK�G:r7 LIVi.J(i� 9rNuI4 �� <br /> ) iC l, d;�• �D � <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet A�C-air handling units <br /> �athlub Forced air systems <br /> � Lavalory(wash basin) 4u Gas piping <br /> �_ Shower Water heater <br /> Kilchen sink 8 disposal � Gas(ireplace <br /> �ishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Waten c�ater Range hood <br /> Sink(servicelbar/mop/elc.) J_ Ezhaust fan <br /> 02ckflow prwenter Heal pump <br /> Urinal Unit healer <br /> Drinking Fountain , Boiler <br /> Floor drain Refrigeretian <br /> Grease trap Woodslove <br /> _4 Roaf drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby ceritity Ihat I have read and examined this application and know Ihe same to be true and correcl All provisions of laws and <br /> ordinaces c�overning this type o(work will be complied with whether specilied herein or not.The granting of a permit does nol presume <br /> to c�ive aufhoriry to violale ur cancel Ihe provision ol any other state or local law rec�ulatinc�construction or the performance ol <br /> construclion.Thal I am aulhorized by Ui�o�vner ot this property lo per(orm the work for which applicalion is made and I comply with the <br /> Stale m raclors Law ti).27 RCW and 2�J�.200 WAC. <br /> � �-'�'�--�- Z-L�- �b' <br /> � <br /> �ure o wnedCon ractodAulhorized Ac�enl — Dale — - <br /> e� / C. <br />