Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEPETT, WA 98201 <br /> 425-257-8810 - FAX 425.257-8857 - www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> SIT ADD SS PAR ELT X I.D. PEF�MIT# <br /> ` LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE / <br /> C1ff ��-!° / / /fir 2rh� - �t�Dj , <br /> �TTENANT NAME CONT �T yF,OR�PEnRMIT^ �il PIHONE <br /> R cT0 _ _ ' n / J ` A E ' G I /ZIP P[IOg-,t �� <br /> 'LJf �J(Jr' r.✓h- 99/3, <br /> CONTR.LICENSE# <br /> USE OF BUILDING Xe4ey r(dHEAT SOURCE CONTRACT PRICE OF WORK <br /> MOM _ clrjG,_Gas Other <br /> IWORK <br /> 1NE2,/ laf, <br /> 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 heater <br /> _ Kitch©n sink 8 disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Clothes washaP Clothes dryer <br /> Water heater Range head <br /> Sink(servlcelbar/mop/ate:).. Exhaust fan <br /> _ Backnow,preventer Heal pump <br /> _ Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floordraln Refrigeration <br /> Grosse trap Woodstove <br /> Roof drains Other <br /> Other _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 _ <br /> I hereby coritify llrl Y ave read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinacos governing lhi type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to Wi, or ncel Ilse provision of any other stale or local law regulating construction or the performance of <br /> cued by the owner of this property to perform the work for which application Is made and Icomply with the <br /> StCW and 296.200 WAC.ignaturo 0 or/Contractor/Au Agent Dale <br /> Z <br /> 1 <br />