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 Q <br />SITE ADDRESS ,f PARCEL TAX I.D. # pFRNIT it <br />aF ("s�aao��6 r6 /aio,ri--o <br />Uh41 <br />LEGAL LOT NO. BLOCK TRACTOR SUBDIVISION# <br />DESC <br />OWNER ADDRESS CITY2IP PHONE <br />li�D ����� LLB iz616 h�AM g�- ChVl,v>71sL ly4 erc-z4&4 <br />TENANT NAME CONTACT FOR PERMIT PRONE <br />A I���% , ^ ' <br />ry��E-MAIL !{A1 i�kAnIC'�i�� <br />J�/1���� <br />n0 &� 7$9 � Z_ .�d<7- <br />� j,�T't//.L<•,ly,1,/11 c rt< i z1 <. <br />TR. LIC O. EENSE#T/'w'4/W�f Kb7JCCI�n_V6 <br />USE <br />n�O/nF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Electric X Gas _Other ( 7� <br />WORK SCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO, TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />A/C —air handling units <br />Bcthtub <br />Forced air systems <br />Lavatory (wash basin) <br />_Gas <br />piping <br />Water heater <br />_ <br />Shower <br />Kitchen sink 8 disposal <br />_Gas <br />fireplace <br />_ <br />_ <br />Dishwasher <br />Gus range <br />dryer <br />_ <br />Clothes washer <br />Water heater <br />_Clothes <br />Range hood <br />_ <br />_ <br />Sink (servicelbarlmopletc) <br />_Exhaust <br />fan <br />Heat pump <br />_ <br />Backllow preventer <br />Unit heater <br />_ <br />_ <br />Urinal <br />Drinking Fountain <br />_Boiler <br />Refrigeration <br />_ <br />Floor drain <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />_Other <br />_ <br />Other <br />— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to glue authority to violate or cancel the provision of any other state or local taw regulating construction or the performance of <br />the for which application is made and I comply with the <br />construction That I am authorized by the owner of this property to perform work <br />State C tractors Lew 16.27 RC and 296. 00 WAC. <br />Sig r I rlCon ractorl uthonzed gent ate <br />