Laserfiche WebLink
PERMIT APPLICATION <br /> ------ <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 FM <br /> SITE ADDRESS PARCEL TAX I.D.pPERMIT p <br /> LSE 00 9 O L1L L/M <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER 22 ADDRESS CITYIZIP PHONE <br /> _k1cK vE2Gr1A+�5 a0� 600. AL 5� Eg� N25-Z90-55G/ <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> qN I FG ,q 5-G <br /> T 2 m� O <br /> NE <br /> CONTRACTOR D y(o� <br /> DAYAiQD N11V PIM&Td- HIZr• 1(pd/N i3;a,4Ve.W- LYn).Juwp yZ,5�-.175'6gW <br /> CONTR.LICENSE RDAW j z;o1 7gggQ4 903 <br /> USE OF BUILDING HEATSOURCE CONTRACT PRICE OF WORK <br /> _Electric xGas_Other W' " 1� ��(/•Od <br /> WORK DESCRIPTION rpEtOcslcE EX(snN0-_ (rft5 Fu Al CC- G�llflf NeLtJ 6;+S/%m4JA-C6 �rw LOC/4— <br /> T70/-)-PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet AIC—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> _ Water heater Range hood <br /> _ Sink(servicebarfmopletc.) _ Exhaust fan <br /> _ Backflow preventer _ Heal pump <br /> Urinal Unit healer <br /> Drinking Fountain _ Boller <br /> _ Floor drain _ Refrigeration <br /> _ Grease trap _ Woodstove <br /> _ Roof drains _ Other <br /> Other <br /> CITY OF EVERETT LOCAL BALES TAX CODE IS 3105 <br /> 1 hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied wilh whelhor specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction.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 /> Slate Contractors Lew 18.77 RCW and 298.200 WAC. 911440 <br /> Ignaluro Hari ontractor ut ent Date <br />