Laserfiche WebLink
PE�r�MIT APPLICAI'IO�v <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 /> i� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS r., PARCEL TAX I.D.# PERMIT# / <br /> �2s 4S'� s� -�� WP• 9szo sa4� ooZ oo� 000a �, �-1 � �S <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRC-55 CITY2IP PHONE <br /> V�� \�II�GE��E Q�+r+ER9 �CS'uC. <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> �r�. �`c�a-�Ec� 2.oc�-4�q• 1�c�4 <br /> CONTRACTOR ��y�Q �S(� GQ,pU� A�DRESS CITY2IP PHONE <br /> 3auo 1,�oac,�.a+�J '�t ZAV-(n�$z.- osoo <br /> CONTR.UCENSE#�ELFOV G q�01�,S ^V"c. �.100.'Cl� �,�,ti� n.�1O,� <br /> _, <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> CD�tvAOVY�W �V� �Electric _Gas_Other �oQ�OCIn, D�C <br /> WORK DESCRIPTION <br /> ����r 1�EQ�1 Yv�¢-C'C�. t'i,eA4�y — 2'Q' 2a•,E w/ StoP�— <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYP=OF FIXTURE OR ITEM <br /> _ Toilet A/C—airhandlingunits <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink (service/badmop/etcJ Exhaust fan <br /> Backflow preventer Heat pump <br /> Unnal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeretion <br /> Grease Vap Woodstove <br /> � Roof drains Other <br /> Other <br /> CITY OF EVERETi LOCAL SALES 7AX CODE IS 9105 <br /> I hereby ceritify that I have read and examined lhis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authonty to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction.That I am authorized by lhe owner of this property to perform the work for which application is made and I comply with the <br /> State Contraclors Law 1827 RCW and 296200 WAC. <br /> Signature of Owner/ContractodAuthonzed Agent Date jL <br />