Laserfiche WebLink
PE� .MIT APPLICATIOh <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR STREET, EVERETT, WA 982� i <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDREi S 2�-� � ,�w .� PARCEL TAX I.D.# P�OSL v��3�� <br /> 5`�3 . xu <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE 2Tj�f9-2S� <br /> •}{� M�tJT P�T� L 5 � 3 f Z St� R vE.�n,t- �,,�RETr,wa qs2o3 <br /> TEMANT NAME CONTACT FOR PERMIT PHONE <br /> SE LF <br /> CONTRACTOR O� ���� ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDI�a� — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric ✓as_Olher <br /> WORK DESCRIPTION <br /> S►J sTA�.��kY�o n� D� G A S �l A?�Q. ;-1 �R"L� IZ. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> Balhtuh Forced air syslems <br /> I _ Lavatory(wash basin; = Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/elc.) _ Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Retrigeration <br /> Greasetrap Woodslove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby ceriti(y that I have read and examined this application and know the same io be true and correct. All provis;ons of laws and <br /> ordinaces governing this rype of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state ur local law regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application is made and I compiy with the <br /> State Contraj ors La 1827 RCW and 296.200 WAC. / <br /> ��(/�i /�/ ���� <br /> Signatu wner ContractodAuthorized Agent ate <br />