Laserfiche WebLink
I X� �nl <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT '✓VA 98201 <br />425-257-8810 - FAX 425-257-8857 - www everettwa Ding <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. M <br />P RMIT t <br />Quc ce <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS CITYlzIP PHONE <br />nn <br />1560a-rr dLINIL 37D I Hoyr Gr-NuG E-Peav-, Lill /45Rol 425.334. 54SS <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />eI1121.5 Dl+nF 47.5•1Z5; �u4� <br />CONTRACTOR ADDRESS CITYMP PHONE <br />vI6�TG�II I I.CC G3o0 111CPCtL� QwGGK-It Y. 41,5?75 ?4N'j <br />CONTR. LICENSE # A'4oD <br />SI b uTL-+I' 946C 1'' w1S,14820 3 <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Electric _ Gas _ Other If 37 <br />WORK DESCRIPTION �` T c— <br />I{L+-pTlOwl p>< IGLGw/l/NH`rL� 4/ NGIV I/iZL/N/il� <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />VC — air handling units <br />_ <br />Bathtub <br />_ <br />Forced air systems <br />_ <br />_ <br />Lavatory Iwc;sh basin) <br />Gas piping <br />Water heater <br />_Shower <br />_ <br />Kitchen sink 8 disposal <br />Gas 5replace <br />Dishwasher <br />Gas range <br />_ <br />Clothes washer <br />Clothes fryer <br />_ <br />_ <br />Laundry tray <br />Range hoed <br />_ <br />Sink(servicelbarlmopletc.) <br />Exhaust fan <br />_ <br />Backflow preventer <br />Heat pump <br />Unnal <br />Unit heater <br />_ <br />_ <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />_ <br />_ <br />Grease trap <br />Woodstove <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby centify that I have read and examined this application and know the same to be true and correct All provisions of laws and <br />ordinaces governing this type of work will be complied v. ith whether specified herein or not. The granting of a permit doers not presume <br />to givSau1tZonty to violate or cancel the provision of any other state Ir local law regulating construction or the performanoe of <br />copistruction. That I am authorize a ow r of this property to perform the work f0( which application is made and I comply with the <br />State Contractors Law 18. d 29 OO WAC <br />/L <br />