Laserfiche WebLink
v� <br />PERMIT APPLICATION <br />CITY OF EVEF�ETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982✓1 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �`a. f� <br />SITE ADDRESS EVue,1� PARCEL TAX I.D. # PERMIT # <br />2�1� 2l� �'t'e2�i- wl} �dr7531�G10�G -00 _�c7oo'a!� <br />LEGA LOT NO. BLOCK 7RACT OR SUBOIVISION # <br />DESC. ' .`-�,�L <br />OWNER ADDRESS S� CITV2IP PHONE /�ZS� <br />�a��e� M�,ycpc,k 2.814 �� S�r�.� ��u-�,4- �8zo( `fbb. <br />TEN(A�NT�NAME �{ <br />l�'0.✓��'?� 1 `�YCVCI� <br />��xr. <br />N�� <br />COMTR. LICENSE k <br />11SE OF BUILDING <br />�I <br />�'O W�P� <br />WORK DESCRIPTION <br />NO. <br />N7ACT FOR PERMIT <br />a,�ie1: r�Cr,y <br />PHONE��ZS) ¢66-96¢6 <br />e.Ma�d�aYG�cicQq"^a�l, o.vi <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Electric � Gas _ Other <br />�� <br />/ � <br />�—+�� ,n9 �, e��3��y ���t:.!5 <br />TYPE OF FlXTURE OR ITEi.i <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fauntain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />CITY OF <br />NO. I TYPE Of�URE OR ITEM <br />NC - air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas ranye <br />Clolhes dryer <br />Rangehood <br />Exhaust lan <br />Heal pump <br />I Inil heater <br />Boiler <br />Re(rigera6on <br />Woodslove <br />LOCAL SALES TA% COD[ IS 8105 <br />I hereby ceritity that I have read an0 e�amined thiS�application and know ihe same to he lrue and correct. Al�,povisions of laws and <br />ordinaces gov�rning this type of wo:ic will be coriplied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violale or cancel the provision of any other state or locat law regulatiny consWction or the performance of <br />construction. That I am authorized by the owne� o( this property to per(orm the work for which applica�ion is made and I comply with the <br />State Co�nlrflcqlors La 18.27 RCW/� nd �29G200 WAC. / <br />.`�1�.,,�� �il/,�il,V � �1 �l �7 <br />