Laserfiche WebLink
1 <br /> �tRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.erg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS ' PARCEL TAX I.D.� PERMIT� <br /> 5 �Z� �'.�yF,eS� 6ds� r� oL� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS / CITY2IP pHONE <br /> � � � � '� � / `� �f�� /�1//,�i,5i�� �/�? �-� - U <br /> � �.r F�� c/ / r / _ l .�� <br /> TENA NAME ��,i��� '� �tT�z�itJJ CONTACT FOR PERMIT PHONE <br /> �" <br /> �S �y� ��� � <br /> CONTRACTOR ADDRESS CIN/ZIP PHONE <br /> CONTR.UCENSE p <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Elac�ric Gas Olhor <br /> WORK DESCRIPTION <br /> ����',�S -�o v, l��'u% --�/- Il H�D � ��1�.��^ �,-DiAr� <br /> 1 <br /> ('.L/ j—/JC%,E c7 h L�rf���r�(/`7 <br /> / <br /> PLUMBING MECHANICAL <br /> NO. TYPE QF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilel A/C—air handling unils <br /> Bathtub Forced air syslems <br /> _ Lava�ory(wash basin) Gas piping <br /> _ Shower Walerheater <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Clothes washer Clolhes dryer <br /> _ Waler healer Range hood <br /> Sink(service/barlmop/elc.) Exhausl fan <br /> _ Backflow prevenler Heal pump <br /> _ Urinal Unil heater <br /> _ Drinking Founlain Boiler <br /> Floor drain Refrig�ration <br /> _ Grease Irap Woodstove <br /> _ Roof drains Olher <br /> Olher — <br /> CIN OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined Ihis application and know Ihe same to be true and wrrect. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether speci(ied herein or noL The granting of a permit does nol presume <br /> to give authority to violate ortancel the provision of any other state or local law regulating consWction or lhe perfortnance of <br /> conslruction. That I am aulhorized by ihe owner of this property to peRorm the work for which application is made and I comply with the <br /> Slate Conlractors Law"18.27 RCW and 296.2001y Q: <br /> � l. ' <br /> �<' - c.(%/ i�i:il/�'� ��/��/%�i <br /> Signature o � wnedConlv or�tho d gent C—�Da�'! <br /> / v <br />