Laserfiche WebLink
PERMIT APPLICATION <br /> CITY 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 -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# ERMIT A <br /> �ao/ SM.�� ►�� IOl � _�_'� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> y�L� s/ • ��l�G��/N�"Y/ � Ra.�O.� SYS9 L� %�.ZO(o �/2.5� Z.jI�� ��/7 s <br /> TENANT NAME CONTACT FOR PERMIT FHONE <br /> .QD YEL[� /Y!/i'i✓�tF�uuRist�/ <br /> CONTRACTOR ADORE55 CITYRIP PHONE <br /> �1�t.�G/LL�"71S/ $/fJ� S��x.-/��- ,{/ <br /> CONTR.LICENSE 7 z J L U Y'�1.✓f/G �� d' �� �SZ �����/ <br /> ���•��77.�,0/ <br /> USE OF BUILDING NEAT SOURCE CONTRACT PRICE OF WORK <br /> Q�F/GG _Eleclric �_OUier (j��00 `= <br /> WORK DESCRIPTION <br /> Z7v�79« �.yz,F�GEU �o.r?v!� u.vi�i��0 �u �-� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> _ Toilel NC—air handling unils <br /> Ba1Mub Z forcedairsyslems <br /> Lavatory(wash basin) / Gas piping <br /> Shower INater healer <br /> Kitrhen sink 8 disposal Gas(ireplace <br /> D.�hwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> _ Laundry�iay Range hood <br /> 5ink(servicelbadmop/�lc.) � [xhausl fan <br /> Dackllow provenler Hoal pump <br /> Urinal Uni�Aealer <br /> Dnr,king Fountain �oiler <br /> Floor drain Refngeration <br /> Greasetrap �Vood:'•ve <br /> Rool drains Other_ <br /> Olher <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3705 <br /> I hereby cenli(y iha!!have read and examined Ihis applicalion and know the same lo be Irue and wrred. All p�ovisions ol laws and <br /> ordineces go�•cming�his type of work will be complied wAh whelher specified herein or not.The granting of a permit dces not presume <br /> lo give aulhori�y lo violato or cancel Iho provision of any other stale ur local Iaw regula�ing wnstruclion or Ihe peAormance of <br /> conslruction.7h��I arn authorized by the owner of this propeAy to pedorm ihe work for which applicntion is made and I comply with the <br /> State Contraclo Law 27 RCW a d 296200 WAC. <br /> ���� ��� i i9 - 07 <br /> , <br /> SiynaWreof wnerl ontractodA�ihodzedAgent Date <br />