Laserfiche WebLink
RL.RMIT APPLICATICA <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 />SI DDRESS PARCEL TAX I.D. # PERMIT # <br />G� / fie — 2 <br />LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION # <br />DESC. <br />OWNER ADDRESS CITYIZIP PHONE <br />�L �v22'I� l�[!�t/G �j9d/��f/�y2 L ✓�"�e�%r�i� j��'�l <br />TENANT NAME j f CONTACT FOR PERMIT PHONED` <br />1/1JL/ I /cr/fK%�C?`hG� E•MAILA�`if ndi�teG rl4f'- <br />nuc <br />Q <br />USE OF BUILDING <br />f 6y1G1ron 5 2326 —121 <br />W RK DESCRIPTION <br />(gv gc. ) 'tee, <br />x�,- 14a7'Z4' 4 ej P/ar5 <br />HEATSOURCE <br />E�ererl-9j2a- 29- o <br />KEleclric —Gas_ Other <br />14eAv V"'; v a)"'eS �"- <br />TRACT PRI�5Et:qF WORK <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />A/C - air handling units ' <br />_ <br />Toilet <br />ToiletBathtub <br />Forced air systems <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />_ <br />— <br />— <br />_ <br />Gas piping <br />heater <br />Water Gas fireplace <br />_ <br />_ <br />_ <br />_ <br />Dishwasher <br />Clothes washer <br />_ <br />— <br />range <br />Gas range <br />Clothes dryer <br />Range hood <br />_ <br />_ <br />Water heater <br />Sink (servicelbarlmop/etc.) <br />— <br />_ <br />Exhaust tan <br />Heat pump <br />_ <br />_ <br />_ <br />Backflow preventer <br />— <br />Unit healer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />— <br />— <br />— <br />Boiler <br />WoodRefrigeration <br />ove <br />Other (//)1! �JCe 5 <br />Other <br />O <br />_ <br />_ <br />_ <br />_ <br />Roof drains <br />_ <br />Other <br />— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I 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 give authority to violate or cancel the provision of any other state 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 />State C rs La tj 1 RCW and 296.200 WAC. <br />Sign re of OwnerlContractor/Authonzed Agent Date / <br />