Laserfiche WebLink
P�r2MIT APPLICATI4�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE�T, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � —a 3-�� <br /> SITE ADDRESS =�- I`Ei-�_." �- �- �, ' PARCEL TAX�.D.N PERMIT p <br /> C'r� `:;�i c'.`. /Z S %X/C`� � L'vi1. I�pZ - O�, <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> TENANT NAME M ' CONTACT FOR PERMIT PHONE j(t- �L!' - i/ � <br /> ������,i Cf-fit-� 52�CN �-� (�,i/�,ICT MN� E-MAIL <br /> �� ' 1 c 6�-71-y <br /> jZ��;/ A,�f c� n..� S�iv /cC,iC /SF �f✓e � �c.,.NCc `y�/C� J <br /> � CONTR.LICENSE N � Y� <br /> '�-. )r '%�/ �L-I•I <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> I _Eleciric _Gar_Other � <br /> .�vv <br /> WORK DESCRIPTION �. (I�C��}I� C�v. ��'f- GG��r'i i�r�/ CC f'fK� i��l I <j C E� �.�,�'T <br /> fri�� .rr�,� / �,' 1 I <br /> J- —: / � <br /> ��--r��f-S-6T�--�la�2/i �I <br /> PLUMBING MECHANICAL � <br /> NO. iYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ AIC -air handling urnls <br /> E3alhtub Forced air syslems <br /> L.vatory(wash basin) _ Gas piping <br /> � Shower Water heater <br /> Kitchen sink &disposal Gas fireplace <br /> Dishwasher Gas range <br /> CloUies r�asher Clothes drye: � <br /> _ Water hea;er Range hoad i <br /> � Sink (servicelbadmopla�c.) Exhaust fao I <br /> Backtlor+preventer Heat pump <br /> Urinal . Unit healer <br /> Drinking Fountam _ Boiler <br /> Ploor drain Relrigeralion <br /> Grease Irap _ Woodslove <br /> Roof drains Olher <br /> Other _ <br /> ' CITY OF EVERETT LOCAI SALES TA%CODE IS 3705 <br /> I hereby certify Ihal I have read and examined�his appliwlion and know ihe same to be�rue and correct. All provisions of laws and <br /> ordinances goveming ihis type o(work will be complied with whe�l�er specfied herein or nol. The granting o(a permit does not presume <br /> to give aulhorily to violale or cancel Ihe provision of any other stale or local law regulating construction or Ihe pertormance ot <br /> construdion. That I am authorizeA by the owner o(ihis propeAy to perlorm ihe work lor which application is made and I comply with Ihe <br /> SIa�Conlradors Law 18.27 RCW and 29G200 WAC. <br /> 1 !—— I <br /> i ��Slgnalu e f OrvnedConhactoi/Aqll�dv�zed Agent Uale �/� <br /> � ! <br />