Laserfiche WebLink
—� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425•257-8857 —w�nvu.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S�TE ADDRESS � PARCEL TAX I.D.p PERMIT <br /> I W CPS� � t2oh'D - t°I ocld651 D lol (� 70�- SD <br /> LEGA LOT NO. BLOCK TRACT 9R SUBDIVISION N <br /> DESC. <br /> OWNER ADDRE55 CITY/ZIP PHONE <br /> ScMt�-SE'I' �'h�.k CdJ�orn�rJ;�Ms 143o WCRS►►� 1� �1t�'tC °►82a4 <br /> TENANT NAME 1CONTACT FOR PERMIT PHONE � /pdZ �I I <br /> "N11�� c�k I JIII��/�GPY1. �(�� �� � "E-MAILJIM�I+�VdWf�4{��S7f. <br /> aaarRb� �� � <br /> CONTR.LICENSE p <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> COI����N��m Electric Gas_ Othcr d `tD��� ��� <br /> WORK DESCRIPTION <br /> k�rE tt ��� s�o�sc� t� � n.��'ac� �uJ�.oP� a+�Mrzs <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR IT[M NO. TYPE OF FIXTURE OR ITEM <br /> _ Tdlet . ' ' '� • � ',•'� _ Q�C�-air handling units � � <br /> �3�p��ii� _ Forced air syslems <br /> __ Lavatory �washbasin� ___._ Gaspiping <br /> Showcr _._ Watcr heatcr <br /> __ Kitchen sink 8 disposal .__ Gas fireplace <br /> Dishwashcr ._. Gasrange <br /> Clothes washer __._ Clo�hes dryer <br /> Watm hcatcr __ � Range hood <br /> Sink(service/bar/mop�e�c.1 __. Eahaust fan <br /> __ �ackllowprevenler ____ Heatpump <br /> Urinal Unil heater <br /> __ � Drinking Fountain _ �oilcr <br /> Floor drain Relrigeration <br /> _ Grcasc trap _._ _ Woodstove <br /> Rool drains Other <br /> -- -- <br /> Oth�r <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilily that I have read and examined this application and know the same to bo true and wrrect. All provisions ol laws and <br /> ordinaces governing Ihis type ol work will be complied with whether specified herein or noL The granting ol a permit does not presume <br /> to give aulhority to violato or cancel ihe provision ol any other state or local law regulating construclion oi the performance of <br /> conslrucliun. That I am aulhorized by tho owner of�his propehy to pedorm the work lor which application is made and I comply wi�h Ihe <br /> 5�< .Contraclors Law 18.27 RCW and 296.200 V/AC. �jp'7 <br /> � [Js 23 �_-- <br /> nati e ol O ieu onlractonAuthorized Agent ate <br /> CII � <br />