Laserfiche WebLink
P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> :200 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 PARCEL TAX I.D.p PERMIT <br /> I W CPS��D ���p " 3 S <9c$651 0 I01 I � '�0�- S l• <br /> l[GAL l0T N0. BLOCK TRACT OR SUBDIVISION k <br /> DESC. <br /> OWNER A�DRESS CITY2IP PHONE <br /> �tMt,�-sE't- �,�.k G%Noom�rJ��Ms 143� wCpst►� l'� L�t�!�tC °►82�} <br /> TENANT NAME CONTACT FOR PERMIT, � " PHONE � (peZ �I I <br /> S`�, 1, JII�II�WL PY� ���D�' ""*`� „-`"�-MAILJIM@�JPlI/if�41�Qx1f. <br /> � <br /> 't$b � <br /> CONTR LICENSE p <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> CQ�Ihi1'�1��1}Ul�'� [lectnc __Gas Other � 2� SO�� � <br /> WORK DESCRIPTION � <br /> ��E � ��F sio� G�F � t'�'Ldrsc� �,lJ&d?E t�e�rzs <br /> — PLUMBING MECHANICAL <br /> NO. 7YPE OF FIXiURE OR ITEM N0. I TYPE OF FIXTURE OR ITEM <br /> Toilet , . • . , � ___ A7C�–air handling unils <br /> - ' ' ' ' Foiced air systems <br /> BatMub ' -- <br /> Lavatory�wash basin) _ Gas piping <br /> Sliower ___ Watr.rheater <br /> Kilchen sink 8 disposal _ _ . Ga::fireplace <br /> Dishwasher __._� Gasrangc <br /> Clothes washer _ __ Clollies dryer <br /> Waler healer . Range hood <br /> Sink(servicc/badmop/etc.� __ Eahaust fnn <br /> � Backllow prevenlm _ Heal pump <br /> Urinal ._ Unil hea�er <br /> Diinking Fountain _ �oilor <br /> Floor drain Refrigeration <br /> Grcase trap _ Woodstove <br /> ..— Roof dr:iins -- - Other-------- <br /> -- Other __ - ---------- <br /> CITY OF EVEFETT LOCAL SALES TAX CODE IS 3105 <br /> I heieby ceritily Ihat I have read and ezaminr,d this applicalion and know the same to be true and correct. All p�ovisions of laws and <br /> ordinaces goveming this type ol work wiP be complied with whether specified herein or nol.The granting of a permit does nol presume <br /> to give authcrity to violate or cancel the provision ol any other st�to or local law regulating conshuction er ihe pertormance ol <br /> construction, That I am authonzed by tho owner ol Ihis property to perform Ihe work lor which application is made and I comply with the <br /> SI Contraclors Law 10.27 RCW and 296200 WAC. �"t <br /> l� U� 23 � <br /> � nati �e ol O ier� ontractoriAulhorized gent ate � <br /> -------- -----�-- -- -- --------- - ---------��— <br />