Laserfiche WebLink
PLr�MIT APPLICATI(��� <br /> • CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org p�7`�5 <br /> -/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � - � ' h2. .- Hw G .R ��.� S L i.J"'� - -7 <br /> LEGAL LOT N0. B OCK TRACT <br /> DcSC. <br /> OWNER ADDRE55 CITY2IP PHONE <br /> Mari��e�r Squn� �hvc�-li�h�fS �b�0 �eklw�rL AVe � ��ehe.}�� W� �IS�C� I 42S-33y-31v� <br /> TENANT NAME CONTACT FOR PERMIT T- PHONE <br /> �'�, �P���iC `���c�ce, �ra}�K (�on2�I�S �I�S-33o - bll�0 <br /> CONTRACTUR AODRESS CITY2IP PHONE <br /> RP.�i S�hScrv;ci , I���, Got4�,11 -�vereta-{4ti.i�Su��LF�.3cl MiIICrcCry. �:JA `f�ol2. <br /> CONTR.LICENSE# 6 g�JLS�����1' � / <br /> `f�,S-33n- K11a0 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> �:�v'C E C Lv R _Electric _Gas_Olher � �d�•����N�_��) <br /> WORK DESCRIPTION <br /> �r�S-}Ul� IClw�nhe,� �-���er �is�lc;u , Si�,� � <br /> v <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIX�URE OR ITEM <br /> Toilet A/C—air handling unils <br /> Bathtub Forced air systems <br /> Lavatory{wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 dispos I \ _ Gas flreplace <br /> Dishwasher ` Gas range <br /> Clolhes washer _ Clothes dryer � <br /> _ Laundry tray � _ Range hood <br /> Sink(service/bar mo /etc.) _ Exhaust fan <br /> _ 9acktlow preventer �� _ Heat pu p <br /> Uri.�al Unit heat <br /> Drir�king Fountain __ Boiier <br /> I _ Floor drain _ Refrige ion <br /> Grease trap Woods ve <br /> Roof drains Other <br /> Olher <br /> � — — <br /> ICITY OF EVERETT LOCAL SALES SAX CODE IS 1105 <br /> I I here6y ceritify tha:I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> i ordinaces governing this type of work will be complied with�vhether spedfied herein or not The granting or a permit does not presume <br /> ito give authori Kto violate or cancel the provision of any other stale or tocal law regulating consWction or the performanc�of <br /> constructio . h�t I am authorized by the owner of this property to perforn the work for which application is made and I comply with the <br /> State Co rac;ors Law 1827 RCW and 296.200 WAC. <br /> , � 7 . �,� <br /> � Signat r of OwneriContractor/Authonzed Agent Date �/2 <br /> � <br />