Laserfiche WebLink
� <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257•SB57-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TA7f I.D.k PEsM1T if <br /> ���J r.t�G�l-mur� d.V . � � - � <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRE55 CITY2IP PMONEi!Z S- <br /> p� T <br /> �/vrN�n� /�n/u/LL �l( '� So. Ga/Z PwTf"c2 I� - SNv� 33�c�yq� <br /> TENANTNAME CONTACTFORPERMIT PHONE ZOG . $7�f. �j`�J'z <br /> ��Nh/�S ITNy P�•vN� E�MAIL�Unh .(�e.nv�.ieV�ai. .v� <br /> �� <br /> CONTR.LICENSE����� � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric _Gas_Other I <br /> WORK DESCRIPTION <br /> ��Pf�A-C.E 1^1�J+�-i��1G. (�ATG�C G-IA/E 3�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlICTURE OR ITEM NO. TYPE OF FlXTURE OR REM <br /> _ Toilet A�C—air handling units <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas(ireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink�service/barlmopletc.) Exhaust fan <br /> _ Backllow preventer Heat pump <br /> Urinal Unit hea�er <br /> Drinking Fountain Boiler <br /> Floor drain Retrigeration <br /> Grease irap Woodstove <br /> Rooi drains Cther <br /> � Other�,�TC2 5E<VEC� _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify ihat I have read and ezamined this applicat�on and know the same lo be true and correc!. All provisions of laws and <br /> ordinaces goveming ihis type ol work will be wmplied with w`�ether specified herein or noL The granting of a perm�t tloeS not presume <br /> to give authority to violate or canc the provision of any other:,tate or local law regulating constmction or the pertormance ol <br /> construction. Tha am authorize by ihe owner of ihis property to perform Ihe work for which applicatioi�is made and I comply with the <br /> State£onlrect� Law 1827 ..C and 296.200 WAC. <br /> � �-Y-.,��� � y ab� <br /> Signature Owner/Co r tor/AUlhorized Agent at� <br />