Laserfiche WebLink
PEkMIT APPLICATION <br /> CITY OF EV�RETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� _ ►S — O t� <br /> SITE ADDRESS PARCEL TAX I.D.C PEkM1T# <br /> iovz5 T A�'c s'L(SiE w3 iM r . 'G <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS CITY2IP PHONE <br /> �,- � � /I r3�z� oC�t:s� I-F`-���LS tC9t32s I�li /�vc � L.ui `��2USs (Y1�7- 74��0 <br /> TENANTNAME � I CONTACTFORPERMIT PHONE ��i <br /> �n�n IJi�l�,�t�- ��Et�� .�'� Lo (�t25) z52- 31��/ III <br /> CONTRACTOR ADDRESS CITY2IP PHONE I <br /> [VE2�.QE-�� �'�-.9Tc I-�L��1T E�/L 212o PAc�� �r �j�'2ol ful Z�2-3� ly- <br /> CONTR.LICENSE# <br /> �V������sfJZ2C7r <br /> USE OF BUIL�ING HEAT SOURCE CONTRACT PRICE OF WfJRK <br /> __Electric �Gas_Other � �f�d�, a? <br /> WOP.KDESCRIPTION ru1z�,i��l � -�,�:�."st�� I)�Cc.rl�otii< <-e:� 1�7�.�hs�Tr��9CE <br /> �1 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NQ. TYPE OF FIXTURE OR ITEhi <br /> Toilet A/C—air handling uni(s <br /> Balhlub Forced air systems <br /> Lavalory(wa�h basin) Gas piping <br /> Shower � Waler healer <br /> Kitclien sink& disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> _ Laundry lray _ Range hood <br /> Sink(service/bar/mop/elc.) Exhausl(an <br /> Backflow praventer _ Fleat pump <br /> Urinal Unit healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> _ Grease trap Woodslove <br /> Roof drains � Olher_�i�i��,�TZ� <br /> Other � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhal I have read and examined�his application and know the same to be true and corect. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whethei specified herein or nol.Tho granling of a permit does not presume <br /> to give aulhorily lo violate or cancel lhe provision of any other state or local law regulating construclion or the performance of <br /> construction.That I am aulhorized by the owner of this property to perform the wu�k for which application is made an;I comply with the <br /> Stale Goqtractors Law 18.27 RCW 2n 8�i.200 WAC. <br /> i <br /> ���,-.���r� fi7 , �G�� �i�/3/66 <br /> SignaWre of Own re Co actor/Au�honzed Agent ale <br /> I <br />