Laserfiche WebLink
P�RMIT APPLICAI'I(,,n! <br /> CITY OF EVERETT PERMIT SERVICES <br /> ?200 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 � � �`��.Q� <br /> SITE ADDRESS 1 PARCEL TAX I.D.# PERMIT# <br /> ! '7,� _� uc'�e�� ��iG I �o���, - �� � <br /> LEGAI LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> ` �_ �/ S �'C (�I-1 /fi7 J�'1 � �Z S ,/�L(�LC �U (,.� <br /> TENANT NAME C017TACT FOR PERM1IIT PHONE <br /> E-MAIL <br /> CONTRACTOR G�D�<<S�'��� i L�«OICLDPRESS TYIZIP PH N <br /> CONTR.LICENSE tl 7� J `�7 <br /> ��c Di�� �� Cl�� i� � <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric _Gas Olher <br /> WORK Di=SCRIPTION <br /> PLUMBING MECHANICAL <br /> ryp, TYPE OF FIXTURE OR ITEM N0. NPE OF FIXTURE OR ITEM <br /> � Toilet NC–air handling uniis <br /> Batntub _ Forced air syslems <br /> _� Lavalory(wash basin) _ Gas piping <br /> �_ Shower __ Walerheater <br /> Kilchen sink&disposal _ Gas lireplace <br /> Dishwasher _ Gas ranc�e <br /> Clolhes washer _ Clothes uryer <br /> Waler heater _ Range hood <br /> Sink(servicelbadmop/etc.) _ Exhaust fan <br /> Dackflow prevenler _ Heat pump <br /> Urinal _ Unit healer <br /> Drinking Founlain . _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease trap _ Woodslove <br /> Roof drains _ Olher <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify Oiat I have read and ex�amined this application and kno�v Ihe same to be true and correcL All provisions of laws and <br /> ordinaces goveming Ihis lype of work will be ccmplied ailh whefher speciiied herein or nol The granling of a permil does nol presume <br /> to give aulhority lo violale or cancel Ihe provision ol any olher state or 1oc21 law regulatinc�consiruclion or the performa��ce of <br /> construcfion.Thal I am aulhorized by the owner cf this property to pedorm the work for which applicauon is made an;I comply with lhe <br /> Slale Contraclors La�v 18.27 RCW aqd?96.20011'AC. <br /> � `� 7,7 C� . <br /> �2/��.�,1�/. <br /> Signalure of OwnedContractor/Au�honzed Ac�ent Date <br /> 1�_ -- — <br />