Laserfiche WebLink
P�RMIT APPLICATI�,N <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDiT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> i � i i 4 +� �;� �o� ► 2 � � � � ab� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS <br /> CITY2IP PHONE <br /> n/A��t S�, g,„I� � <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> CONTRACTOR .1 I /f � ,�L ADDRESS <br /> v��� oo i CITY2IP PHONE <br /> CONTR.LICENSE# ��� ,,/1� yZ� '�,�a o603 <br /> — M � R«�P�n�z,vE ",", <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION <br /> �D ( L�4u.vp QY �(�-H �) � w�l-S� ��4-s �n/ <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C—air handling units <br /> _ Bathtub Forcedairsystems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower Water heater <br /> _ Kitchen sink 8 disposal Gas flreplace <br /> _, Dishwasher Gas range <br /> _, Clothes washer Clothes dryer <br /> undry tray Range hood <br /> _ Sink(service/bar/mop/etc.) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> _ Urinal Unit heater <br /> _ Drinking Fountain Boiler <br /> _ Floor drain Refrigeration <br /> _, Grease trap Woodstove <br /> Roof drainsq � 1 I Other <br /> _ Other rA � 1� G11 0�0�0� � — <br /> i <br /> � <br /> � CITY OF EVERETT LOCAL SALES 7AX CODE IS 7105 <br /> I hereby ceriti!y that I have read and examined lhis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this rype of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> ve authoriry to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> ons uction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> tate ntractors Law 18.27 RCW and 296.200 WAC. <br /> � � L <br /> I Sign of OwnedContractodAuthonzed Agent Dat <br /> I <br />