Laserfiche WebLink
PERMIT APPLICATION <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 PM <br />SITE ADDRESS <br />14 w o K �T ttiT <br />PARCEL TAX I.D. 0 <br />PERMIT 0 <br />I- 0� - <br />LEGAL LOT NO. BLOCK <br />DESC <br />TRACT <br />OWNER ADDRESS CITYIZIP PHONE <br />TENANTNAME <br />�- &Jmr- <br />CONTACT FOR PERMIT I PHONE <br />F ei 4-^ v�It(' ixftA'x ZS j'iWL I2-l-I <br />Y1 rr <br />CONTRACTOR ADDRESS CITY/ZIP PHONE <br />Fwle•w&Lh Fr QF LLL I(oZ.r CPA&I9­e_p-p rR-1 �.1+'tiaa1eo� 253 ,�5.�_USZ <br />CONTR. LICENSED LFwIEEA Fit 9 Sio MR LvA 9i 325 <br />USE OF BUILDING <br />WA¢ENeuar <br />HEAT SOURCE <br />Electric —Gas —Other <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />/i�h SPkr•�rCleR Pwrc�roti gtylUw H� IlI'1ct44.oi..1� <br />NO. <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />NO. <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />Toilet <br />bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbarlmopletc.I <br />back8ow preventer <br />Urinal <br />Drinking Fountain <br />Floor dram <br />Grease trap <br />Roof drains <br />Other <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />1fl <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />CITY Or EVERETT LOCAL SALES TAX CODE IS 0105 <br />1 hereby centdy that I have read and examined this application and know the same to be true and correct All provisions of laws and <br />ordinaces goveming this type of work voll be complied with whether speufied 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 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 Cont r Mors w 8,7�7 W , d 296 200 WAC <br />Signature of wne Contract umorized Agent Date <br />