Laserfiche WebLink
, <br /> PERMIT APPLICATION <br /> ClTY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STRFET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 2 �"ab '"� <br /> SITE ADDRE:SS <br /> PARCEL TAX I.D.# I PERMIT# <br /> � 5-r� S�� Ipc,-�oa-oay <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. ppDRESS �I7J G.J ( <br /> CITY2IP PHONC �" <br /> OWNER ` <br /> �-�1�t(t.S � . �r�K� /JS 2�{G7 25rHsT (=vl�-,��GJ/l, 2�4� <br /> TENANTNAME <br /> � I CONTP.CTFORPERMIT PHONE <br /> CONTRACTOR <br /> ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE ll <br /> USE OF BUILDING <br /> — HEAT SOURCE CONTRACT PRICE OF WORK I <br /> Electdc _Gas_Olhar <br /> WORK DESCRIPTION <br /> �'��n ��� z����ti `� �� <br /> PLUMBING MECHANICAL <br /> Np, TYpE OF FIXTURE OR ITEM <br /> NO. I TYPE OF FIXTURE OR ITEM <br /> AIC—air handling units <br /> Toilet Forced air systems <br /> _ Bathtub G�s piping <br /> Lavatory(wash basin) — y�/ater heater <br /> Shower Gas fireplace <br /> Kitchon sink&disposal — Gas range <br /> Dishwashor Clothes dryer <br /> Clothes washer Range hood <br />_ Waterhealer Exhaust(an <br /> Sink(servicelbadmopletc.) — Heat pump <br /> 8ackflow prevenler Unit heater <br /> Urinal Boiler <br /> Drinking Fountain Refrigeredon <br /> Floor draln Woodstove <br /> Grease trap Other <br /> Roo(drains —' <br /> Olher _ — <br /> — CIN OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I hereby ceritify thal I have read and examined this applicalion and know the same to be true and correct. All provislons of laws and <br /> ordinaces governing this type of work will be complied with whelher specified herein or not.The granGng of a permit does not presume <br /> ta give authority to violate or cancel the provision of anyPolPer�t P r local law regulaUng constru0catlon ishmade af n al comply wi�h the <br /> ,,;o�1e C t^o�f`�hat I am;ut�rized �d 296 200 WAC. ro ert to erform the work for which app <br /> 7 � <br /> � � i � _ ' ' '_ <br /> �Date <br /> , ,S a ure of OwnedC ractodAuthorized Agent -- <br /> r � <br /> � <br />