Laserfiche WebLink
— - — - — _ _ — ----- -- -------, <br /> PtRMIT APPLICATIC.��1 <br /> CITY OF EVERETT PERMIT SERVICES ! <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8870- FAX 425-257-8857 - www everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � —I S —I� <br /> SITE ADDRESS PARCEL TA%I.D.p PERMIT M <br /> - --' l" -��'L�;h ,� ��� �' �l�'-� <br /> L[GAL LOT NO, � BLOCK — TRACT OR SUBDIVI910N M — <br /> DESC <br /> OWNER ADORE59 CITYIZIP PHONE��Yn ��'S"IC�O <br /> �c��>��r }- ��{��+c�� —?1����' `� St EU�t tt ��g�lQ,4 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> � )( � Y� ( ll �( �f�l I �� ��1I��If��. E•MAIL <br /> �BFITfFdZ`Yb2� �66TSE53—__ , �fTY7ZIP-- ?��.�7' �� <br /> C �ler dL<f T ire �Lcc � �C„I ( I? �i�L r RQ �P1J �,ly I�J�IY�' i <br /> CONTH LICENSE N <br /> I --- C�neU9F1.1ftc�_►�(� ---- - --�I�.� ��" _ � <br /> � USE OF BUiLDINC HEAT SOURCE CONTRACT PRICE OF WORK <br /> I _ _Eleclnc__Ges__Olher - ------� I <br /> I�I WORN GESCRIP710N , <br /> � � n�,1������ �rY1 c� Fr� `x�(�S�IC�✓1 <br /> I - — <br /> i PLUMBING MECHANICAL <br /> I NO. TVPE OF FU(TURE OR ITEM NO. TVPE OF FIXTURE OR ITEM � <br /> 'I __-__ __ ..__ . _. _ ._ __—___ .-_ _ ____ -___ <br /> I otlrl _� . _� �� NC �n h:�ndhny units <br /> I _ Halhlub ___ I o�ced eu syslems <br /> I av�lo�y Iwash basml Gas pipmg <br /> I Slwwer Walei heater <br /> ii _ Ki�chi�n smk 8 disposal _ Gas fueplace <br /> I Urehwashei __ Ges rnnge <br /> Clolhes washei _ Clothes dryar <br /> Walei h�ale� Ranye hood <br /> -- - - Sink lseivice/bai/mopietc) Exhausl lan <br /> ..- Backllow prevenler ._ Heat pump <br /> I Ufillfl� Und heAler <br /> Dnnking f ountam _ Boder <br /> floa drain Reinge�nlion <br /> . .-�- Grease Irap Woodslove � <br /> Rool drams Oth�r _ <br /> - �-- Other — ---.-- <br /> � - -- --------� I <br /> _ _— _ _ CI7Y OF EVERETT_LOCAL SALE9 TAX CODE IS J106 _ I, <br /> I I iiereby ceAily ihat I have read and eKammed this applicalron xnd knuw Ihe seme�o be Irue and correc� All p�ovis�ons of laws end <br /> adinances govemuig Ihis lype of woik will be comphed wdh whelher speafied herem or nol The gran6ng ol p permit does not presume I <br /> lo grve aidhonty to violate nr cancel Ihe provision ol any olher slete or local law regulatmg construclion or the peAormance ot � <br /> , conslruction Thal I am nuthon�ed by ihe owner ol lhis property to perfoim the work for which apphcalion re made and I comply wilh Ihe I <br /> ' `,t;�le Conkactors l.t�W 18,27 RCyV end 2A�i?UO WAC I <br /> ' ' S / � /CJ <br /> � � <br /> ,�.piilinr� ��I ��:�n�.. ,` ��i1� i ��,�i eiQlr,ivn..l�qen� nB�E —_ <br />