Laserfiche WebLink
■ <br /> I f <br /> PE°r�MIT� APPL�CATIOi� <br /> CITY OF EVEaETT PERI'�IT SERVICES <br /> 3200 CEDAR STRE�T, EVER.ETT, WA 98201 <br /> 4�;,-257-8810- FAX 425-257-8857-www.everettv.�a.org G `� �`�7, i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED � <br /> SITEADDRE3S �`Jf�Er ��}J pqRCELTAXI.D.�Y PERMIT# <br /> �021'7 l 9 '" //uF 5'E, S� i� ��' 1�/ <br /> LEGAL LOT N0. BLOCK TRAGT <br /> DESC. <br /> OWNER AD�RESS CIlY21P PHONE <br /> PR �zoc-r-;Z �����_ �q,��� �oe7" .s; .s�. /�-3 E�F�f� Hy��-3��-9vDz� <br /> TENANTNAME CONTACTFORPERMIT PHONE I <br /> 2OG-Cr: /�. �r��� �I.�'J ' ��' �s�lli�� ' <br /> CONTRACTOR ADORESS CITY2IP PHONE � <br /> /-��li�G�f��ICS �L'`IC�1 70 "� �V(z W . C/�iyJn�01 �'.�� -77� -'��1GL <br /> CONTR.LICENSE# ����F�(`y�� �9 <br /> USE OF BUILOING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �"�i D!f��L 0 FFf G F 1 _Eleciric _6as_Other � � V / • �� v <br /> WORK DESCRIPTION <br /> �)h �.l.. S'�/�-�J s <br /> PLUMBING dECHANiCAL <br /> NG. I TYPE OF FIXTURE OR ITEM NO. I fYPE OF FIXTURE OR ITEM <br /> I _ Toilet __ !JC—air handling uniis � <br /> � _ Bathtub _ Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower � Water heater <br /> I _ Kitchen sink 8 disposal = Gas freplace <br /> Dishwasher Gas range <br /> ( _ Clolhes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/etc.) _ Exhaust ran <br /> 6ar,kflow preventer _ Heat pump <br /> � Urinal Unit heater <br /> j Drinkina Fountain _ Boiler <br /> i Floor drain Refrigeration <br /> Grease trap _ Woodstove <br />� I, Roof drains _ Ciher <br /> I _ Other _ — <br /> � <br /> � CITY OF E4ERETT LOCAL SALES TAX CO�E IS 3'105 <br /> , I heraby ceritify that i have read and examined this application ar�Know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of�.vork�vili be complied�vith�vhether_=peci(ied 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 or local law r<gulating construction or the performance of <br /> . consiruction. That I am authorized by the owner ot this property to perorm the �.vork`or which apolication is made and I compty witn the <br /> Stat�.6on'rac!o La�T&:P7RCW- d " 6.200 WAC. <br /> �`— ' ` —' '�" 3 G�% <br /> Signa[ure oi Ov+ner,Contrac;or� ized Agem Date <br /> `/v <br />