Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> '����, APPLICATIONS AqE ACCEPTED FROM 8 AM TO 4 PM �U �(j<�-� � <br /> SITE ADDRESS PARCEL TAX I.D.# P RMIT# / <br /> ' ; ; ' �� ' , �> oc � o�va�� �r� <br /> LEGA LOT NO. BLOCK • TRA T OR SUB�IVISION N �� — (j � <br /> a o103� <br /> DESC. � i � <br /> �N�G�, !�.`�/������ iy7,��DRESS CITY2IP PHON � � � •�. <br /> � /V V C't`E '. <br /> G/t1-�K/��_, 14i1�`Z,l'k�L.�fL�� /��� ��1��'�'�/�1�4i! ��l£!� .�' � <br /> TENANT NAME� --� E MIT PHONE J{j �'J�' •- � <br /> ,,/ �� u? ��� �'� <br /> � � F�VY��� �P���-1�i-� G e-Ma��rfC��J.y�iN�ii : uY►1 <br /> i , ,� , ,� <br /> CONTR.LICENSE# ���`z_��,,p j <br /> USE OF BUILDING � HEAT SOURCE CONTRACT PRICE OF WORK <br /> .� <br /> ���J�� _Electric �Gas_Other )/�'� �,pl� <br /> vr i i .�— <br /> WORK DESCRIPTI N � � <br /> C�-�'�I'rr� �r'J � �l �7Bz� ����'��' �1��� �� �i�t�; <br /> ;��rl�l<��� ��?� o� �o�/�/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF Fl7CTURE OR ITEM <br /> Toile� A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas�ange <br /> Clothes washer Clothes dryer <br /> Water healer Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust tan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify ihal I have read and ezamined ihis applicalion and know the same to be true and correcl. A�I provisions of laws and <br /> ordinaces governing ihis type of work will be complied with whether specified herein or not.The granting ot a permit dces not presume <br /> to give aulhorily to viola�e or cancel the provision ol any other state or local law regulating construction or the performance of <br /> constru o a�I am authorized by Ihe owner ol this property to perform ihe work(or which application is made and I wmpiy wilh the <br /> Slate aclo ' 1���2DOWAC. � L� <br /> � <br /> / � <br /> ign Wre ot OwnedContractor/Authorized Agent Date <br /> / i � <br /> ��, ?fl���� �� <br />