Laserfiche WebLink
PtRMIT APPLICATI(�N <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 /> S�TE ADDRESS f 1 U V� rCl i i 110 D PARCEL TA7f I.D.p PERMIT N <br /> n , <br /> ;��C� c%'C-'� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITV2IP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHON Q� �Z� - 3I <br /> I ^ \ I E-MAIL <br /> �ar�a�ra�� � ;��i�. � �K C2 � � � <br /> CONTR.LICENSE k G�'� �j �-2 �'I y I'C�,aG w�,� wA. � ��'��3 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> 1 Electric __ Gas Other <br /> _ � 1 C Vl-'�- . — —_ - <br /> WORK IDESCRIPTION -I <br /> IlC�O ' Wll;��if , C��/�Py , G7�hLl�li'�' �-2�� ��Y� UUC'fjltin� . <br /> J <br /> C���f���I V-� �� (T �� � s - -- �-- <br /> -T PLUMBING�� MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ _ Toilr,l NC-air handling unils � <br /> _ _ �;�p��ii�� Forced air systems <br /> Lrvalory(wash basin) -- Gas piping I <br /> Shawer Watun c�a�cr <br /> Kilchen sink 8 dispusal _ Gas�ireplaco <br /> Dishwasher _ Gasrange <br /> Clulhes washr,r __ Clolhes Aryor <br /> Walen c�atcr _ Range hood <br /> _ . Sink (servicf!Nadm��piclr,.) _ Ezhausl lan <br /> li,ichllow prevenlr.r _ Heat pump <br /> Urinal Unil heator <br /> _ .. Dnnhmg Fuwil�iin _ Ooiler <br /> Fluor drain _ Relrigeration <br /> - Greaselrap WoodsWve <br /> Roof drains Olher _ <br /> Othcr _ <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7705 <br /> jI hereby cerilily Iha� I have read anA examined this application and know the same to be Iruo and correcL All provisions of laws and <br /> oidinaces 9oveminc�ihis typ�of worA will be r.omplir.d wi�h whethm specilied herein or nol Tho granliny ol a permit Aoes no�presume � <br /> j lu givr. nuthority Io violatr.or cancel lhe provision ol any olher stale or local law rec�ulaling consti�iction or iho peAormanco o( � <br /> ; conslructiun. Th;d I am authurized by the owner of Ihis proprrly�o pertorm�he work Inr which app7calion is made and I comply wi�h Ihu � <br /> Stale Conlriclors Law 1027 RCW an �96.2U0 WAC. ; <br /> I ��:-1 , �.�_ 3 /f `0 7 i <br /> �S�ntTre ol OwnerlConlracloM uthorizod A9enl Dafo ! <br /> // . . _ . . _ _. .. _. . _-----__ . -- ---._. _.1' <br />