Laserfiche WebLink
9; � r.> <br /> PERMIT APPLICATION <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 /> APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> g�� ���g / �� t ����GYt S•C k�L PARCEL TAX I.D.# PERMIT iF <br /> I ��v0� ` bl� <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ,S'C�Citc�l ��e',c7:� /Lf�C�2S /cI� JC � Cr <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �C(.<<lfi� �f'i��iC � E-MAIL <br /> """"' T ,c.-�U!([IG"17 f'/ DDRE ST— ,{ TYZIP PH E . �7y � �I <br /> < f.1/NI)//!J � /Z �I ,9ti /1� J4d�/�1 <br /> 2 l �3�' /�/YCli�t:c�l I <br /> CONTR.LICENSE# � <br /> lZva�ir/���Zc° 2 w'�+- ,'d�z3� <br /> USE OF BUILDING — HEAT SOURCE ( CONTRACT PRICE OF WORK I <br /> Electric Gas Other � � � U J <br /> WORKDESCRIPTION f�(�� :z`��� 5�,��(J �d T� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> � Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> ( Water healer Range hood <br /> � Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow prevenler _ Heat pump <br /> Urina� Unit heater <br /> Drinkinc� Fountain 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 certify lhat I have read and examined this applicalion and know ihe same to be irue and correct. Ail provisions ot laws and <br /> ordinances governing ihis type o(work will be complied with whe�her specified herein or not.The granting uf a permit does not presume <br /> to give authority to violate or cancel ihe provision of any other state or Iocal�aw regulating consiruction or the performance of <br /> construction.l'hat I am authorized by the owner of�his property to periorm ihe work for which applicalion is made and I comply with ihe <br /> Sla�Contrac��s,l.aw 1827 RCW and 296.200 bVAC. �/'?IID <br /> �;1�. , � .� � <br /> Siynature of Ownef onlractor/Authorized Agent ale <br /> I <br />