Laserfiche WebLink
f� cRMIT APPLICATIvN <br /> CITY OF EVERETT PERMIT SERVICES / � �g-�a <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��j�2 -0�7) <br /> SITE ADDRESS PARCEL TAX I.D.il PE IT# <br /> ���>i - ;3 �� L� '/� - <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> E-MAIL <br /> ON R T R /i A DRE � � Z,,� �. _ I IZIP 3 b,� <br /> �_ t ;i� ��� � � � � `1 I)� ,,,,� � � i X (y i � S,nN..,��p t z�r-r: <br /> , ���{ <br /> CONTR.LICENSE# <br /> r �?n�,�� �� P S <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eleclric _Gas_Other // � I� .10� ` <br /> ..[� il <br /> WORK GESCRIPTION <br /> �1_ �' N'� ���//�/(� <br /> PLUMBING MECHANIC,�L <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 1 �� Toilel A/C–air handling unit; <br /> Bathtub • Forced air syslems <br /> i�• Lavatory(wash basin) Gas piping <br /> z� Shower � Water heater <br /> � Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> � Water heater Range hood <br /> 7- Sink (service/badmop/etc.) Exhausl fan <br /> Backflow preventer Heat pump <br /> '=� Urinal Unit hea�er <br /> 2 Drinking Founlain Boiler <br /> � Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> ,�� . — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y that I have read and examined thi�application and know the same to be irue a:id correct. Ail provisions ot laws and <br /> ordinances governing ihis type oi work will be complied with whPiher specified herein or not.The granling of a permit does not presume <br /> to give authority to violale or cancel ihe orovision of any other state or local law regulating construction or lhe performance of <br /> consVuctio�.That I am authorized by the owner of this property to peRorm ihe work for which application is made and I comply wilh ihe <br /> Slale Co (rac�l�rs Law 18.27 RCW and 296200 WAC. <br /> � . '(_��. l � �- r} � / <: <br /> Signa u �of OwnedConlractodAuthorized Agen� Dale <br />