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—www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT <br /> I W �AS'�al� p.�P�� - �y odd651 D lol Q 70�- `; <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION X <br /> OESC. <br /> OWNER ODDRESS CITY2IP PHONE <br /> 5cM1,'ILSE't' �h?_k CeNoorn�tJ��Ms ►43� WCAS�►� � �ft�tC °►�2�`} <br /> TENANT NAME CONTACT FOR PERMIT,,,,,,,"f PHONE � f�62 *a�i I <br /> w�mac�G� Cp(�� I JIIA�(NG�Y� ���.p�r '"`+<< '^'�-MAILJIPq@�dIN/IC�N�RXIS. <br /> ZaATR7CC �D i <br /> CONTR. LICENSE M <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> CGI�����j�m I __Electric ____Gas _Olher � � ���� �— <br /> WORK DESCRIPTION <br /> IZ�6�l(E � �G{�ALE S�ID� {�A7F 4� t�l.P�ts({� L�IJ�E �tAnR$ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURF.OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> ToiIM. •• � � � • • � . � � , A/C=air handlin�iinils <br /> Bathtub � Fc :.ed air systems <br /> _ Lavatay (wash basin) __ Gas piping <br /> Shower ___ Water!iealer <br /> _ Kitchen sink 8 disposal Gas Iheplace <br /> Dishwasher . _. Gas range <br /> Clotheswasher ___ Clothesdryer <br /> Watcr healer __ . Range hood <br /> _ � Sink(service/badmop�etc.1 _ Exhaust fan <br /> _ Backllow prevenler _ He�t pump <br /> Urinal ___ Unit heater <br /> __ Drinking Founinm _ Boiler <br /> Floor drain ._ Relrigeialion <br /> . �_-- Grcar.e trap __ Woodslove <br /> Rool drains _ __ Other_______ <br /> Othm ------- — <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 7105 <br /> 1 hereby ceiilily that I have read and examined Ihis application and know the same to be Irue and correcl. All provisions of laws and <br /> ordmates goveming Ihis type ol work will be complied wilh whelher speciGed herein or not.The granting ol a permit does nn�presume <br /> to give authority to violate or cancel the provision ol any olher s�ate or loca�law regulatiny constructinn or the pe�lormance of <br /> const«�ction. That I nm authonzed by tho owner of C•is property lo perlorm he work lor which application is made and I compty with the <br /> 51 Contractors Law 18.27 RCW and 296200 WAC. �jp7 <br /> � Us 23 <br /> nah e ot O ier onlractoriAu�horized genl ate <br /> I. .__ __... ._._. —�--------- ------ //� <br />