Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 125-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -a-0 7 <br />SITE ADDRESS <br />/73 <br />PARCEL TAX I.D. p <br />PERMIT If <br />7 No 6 <br />d )YDe2 000000 q(�)CI— <br />LEGAI LOT NO. <br />(LOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS CITY/ZIP PHONE <br />C.ATLE 9 3� Hey-J22-33N5' <br />,6PEl2Tp Y3e2 7r��o sT SE <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />CONTRACTOR ADDRESS CITYIZIP PHONE <br />Dqy v- 101Te Punec- ,ic-Hr(G /661 tl l3.*V A>r_z,& Z Y,f✓ 4AV&,0 y2-5 -2x yi�; (i <br />CONTR. LICENSE M q <br />Dwylyz-041 a4wrN't- <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />_Electric Y, Gas _Other <br />I , <br />WORK DESCRIPTION /ZEOL,qcE F.t'1.577^16- O/ /— /-u.eA)ACZ We714 Nett J <br />679a 174�4NAec, AND RHO 6A5 Arm& r-al FI,(Tu1q5F <br />ErA 5 wRT�� �ear6'7-� DQyE� iD QAN� E. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />Toilet <br />Bathtub <br />A/C — air handling units <br />Forced air systems <br />Lavatory (wash basin) <br />Gas piping <br />_ <br />Shower <br />= <br />Water healer <br />_ <br />Kitchen sink & disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />�_ <br />Clothes washer <br />_ <br />Clothes dryer <br />Water heater <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />_ <br />Exhaust fan <br />_ <br />Backfiow prevenler <br />_ <br />Heal pump <br />_ <br />Urinal <br />Unit healer <br />_ <br />Drinking Fountain <br />_ <br />Boiler <br />_ <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES 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 />ordinates governing this type of work will be complied with whether 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 slate or local law regulating construction or the performance of <br />construction. That t am authorized by the owner of this property to perform the work for which application Is made and I comply with the <br />State C Irarlors Law i 7 R W�a.200 WAC. <br />y4i,07 <br />Signalur wnor ontractorl th zed Agent Date <br />