Laserfiche WebLink
P�.r�MIT APPLICATIG,J <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&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# P MIT# <br /> 2 �r7 z� �"' �+- epyol6`i�$o1`ioo ��� " - <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRES5 CITV2IP +PH��) <br /> ��r=� ��r�-�-1 Z'�01 2�►T� S� C�r-,�-�� �1fS?�� �-s`6� C�`1s�S <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> ���F �rw,�}i S'►��� sr.r,r�-� u z'S= z_s�j(�`158 <br /> CONiRACTOR ADDRESS CITYIZIP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S�/�I[rc.� <br /> �m� l� ����L _Electric�Gas_Other G3J7� <br /> WORK DESCRIPTION � � � <br /> (�J(' �`� c�n� -e� � <br /> '�cn�►�-""�C�-"D \a'ra�1_ 1 � d'C'�ti_ S�� <br /> PLUMBING �- MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OP FIXTURE OR ITEM <br /> �' Toilet /- A/C—air handling unils <br /> �"� Bathtub /� Forced air systems <br /> � Lavalory(wash basin) �' � Gas piping <br /> � Shower Waler heater <br /> i Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> _ Laundry tray Range hood <br /> Sink(service/badmop/elc.) � Exhaust fan <br /> BackOow preventer Heat pump <br /> Urinal Unit healer <br /> Drinkinc� Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodslove <br /> Roof drains Other <br /> � Other �R }-C—iZ �S r1.Q„ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby ceritify thal I have read and examined this application and know the same to be true and wrrecL All provisions of laws and <br /> ordinaces goveming this rype of work will be complied with whether specified herein or nol The granting ot a permit does nol presume <br /> to give authority to violate or cancel the provision o(any other state or�ocal law regulalinc�construction or the performance of <br /> construclion.That�am authorized by the owner o(ihis property to pertonn the work for which applicalion is made and I comply wilh the <br /> Stale Conhaclors L2w 18.27 RCW and 296.200 WAC. <br /> .�.e.,C�, sl�6�o s <br /> SignaWr wner ContractodAuthorized Agent Date � <br /> IL <br /> ;� �.4'' <br />