Laserfiche WebLink
23 Z-06 , <br /> PE�MIT �lPPLICATIOtV <br /> ClTY OF EVEREI'T PERMIT SERVICES <br /> 3200 CFDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettNa.org <br /> APPLICATIONS ARE A�:CEPTED FROM 8 AM TO b PM <br /> SITE ADDRESS FARCEL TAX I.D.k PERMIT N <br /> L �: ��s�� ��;� s,�„o R�r rsi�� c�. �r ��� �1,,:. z �t �fc,3 _(.�;3 <br /> LEGAL I.OTNO. BLOCK� TRACT <br /> DESC. <br /> OWNER AODRESS CITVIZIP PHONE <br /> �vCi �� !H 1��„I{�1 /.L (� ! �r` l�� nr, S{- h'nil��A , ��l � ';�� �1 '"! „_ �-1� ' . :�n� <br /> TENANT NAME ( Cc)NTACT FOR PERMIT PHONE <br /> " /i,��S ��/�5J H8') S'ien <br /> \J I�. )IC�L(_� <br /> CONTRACTOR ADIIRESS CITY2IP PHONE <br /> li1S�� c l'�i�� l�- �� « <. / 75�'z F:11v�/I u%��yIUC- , Str�(J <br /> CONTR.UCENSE p � <br /> /NsiTl�e `!s� RC, l:� il�� i� ���� Isn �r �1,�5� 5/�`i-59�� <br /> USE OF BUILDING HEAT SOURCE � CONTRACT PRICE OF WORK <br /> `�r��, � .� �� �i ���_ _Y Lleclric _Gas_Other <br /> WORK DESCRIPTION <br /> �' . �r,,'. <• l. � i.( /t ��/nCi CC: C.�� l�' t'C. �C <br /> PLUMBING MECHANICAL <br /> NU. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilef NC–air handling units <br /> Bathtub Forced air spstems <br /> Lava�ory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplac� <br /> Dishwashr.r Gas range <br /> Clothos washer _ Cblhes dryar <br /> Walen c�atcr Range hood <br /> Sink (service/bar/moplola) Ezhaust lan <br /> BackOow prevenler Hnal pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Relrigera�ion <br /> Grease trap _ Woods�ove <br /> Rool drains Olher. <br /> Other — <br /> CITV OF EVERETT IOCAL SALES TAl(CODE IS�105 <br /> I heroby ceritily thal I have read and examined this application and know the same to be lruo and correcl. All provisions ol laws and <br /> ordinaces governing lhis lypo ol work will be complied wilh wholhor specilied herein or nol.The granting of a permit does nol presume <br /> to give a�dhonty to violale or cancel the provision of any olher slate or local law regulaling construction or the peAormance of <br /> conslrucl�on. Thal I am authorized by Ihe owner ol tliis property to peAorm the wcrk lor which application is mada and I comply with ihe <br /> Slale Coulraclors Law 18.27 RCW and 296.200 WAC. <br /> /� �' � � �-�'� <br /> i i�� . i,. � :.�.- ��_ <br /> Signature nt OwnedConlractor/Authonzed Agent Dale <br />