Laserfiche WebLink
PERMIT APPLICATION <br /> rITY OF EVERETT PERMIT SERVICES <br /> 3200 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.N PERMIT• <br /> i�32 �C�Tt�'K�(�� �V& U0�7532 201700 � - <br /> LEGA LOT N0. BLOCK\ ITR/ACT OR SUBDIVISION It/� <br /> DESC. r � I8 � 2 V -UO f7/LTp/JS �'�S /'tDD T'S EVEI��=rT <br /> OWNER ADDRESS CITY2�P PHONE <br /> ��FF �ht�DY 1�32 WETMOit� �v� C-�t���T, 9�,201 j42�2�2�y61 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> E-MAIL <br /> R � <br /> ��JJ�G)� <br /> CONTR.LICENSE�I <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �CS � �C� �Eleclric _Gas_Olher <br /> WORK DESCRIPTION <br /> ,K'C/'LlICC- LX/Sn�1G Cc/�N�l S/lNKE .C�ooF c.�irr� ,vew �6nar.e SM�fKi: �'wr, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Wator heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Ciothes dryer <br /> N'ater heater Ranye hood <br /> '�ink(service/bar/mop/etc.) Ezhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit healer <br /> Drinking Founlain Boiler <br /> Floor drain Re(rigeration <br /> Grease Irap Woodstova <br /> Roo(drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 9105 <br /> I hereby ceritify that I have read and ezamined this application and know the same to be true and correcL NI provisions of laws and <br /> ordinaces governing this rype of work will be complied with whether specified herein or not.The granting of a pertnit does not presume <br /> to give authorily lo violate or cancel the provision of any other stale or local law regulating construction or lhe pertormance oi <br /> construclion.Thal I am aulhorized by the owner ol this property to pedorm the work(or which application is made and I wmply with lhe <br /> Sta1e Contra�lors Law 18 7 RCW and 296200 WAC. <br /> i <br /> (O Z <br /> Signa re nedConlract thonzed Agenl Date <br />