Laserfiche WebLink
i <br /> P�RMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereHwa.cxg <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM -DEBR d CREDR CARDB ARE NOT ACCEPTED <br /> I <br /> SITE ADDRESS ��i�/�. PARCEL TA7(I.D.� RAAR/ � <br /> 7 � <br /> � LOTNO. BLp�K ��T ' <br /> DESC. <br /> OW R '• <br /> ADD i <br /> Sµe -�c.:.. /7d 9 �i,�.-l� �fLiP ���✓G� 3G D�Y81��j I <br /> TENANT NAME CONTACT FOR PERMIT <br /> �1 ��� /��hs{ �LPMONe9�u-3f 7-9071 � <br /> �ewu�,�(nJo �e �i��n (.L /�i�Ce �lu��Z� at��„-�.�� 'l�e�°� �3l�D /o°5�35 <br /> eonrn�crort ,►ooReas c mr nHONe � <br /> CONl}t.LICENSE� � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> I _ElecMic _Gas_pfher I 5oO'� � <br /> WORK DESC PT10N j <br /> i <br /> � <br /> � <br /> i <br /> PLUMBING � <br /> MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYpE OF pU(TURE OR ITEM � <br /> _ Toilet _ A/C—alrhandlinpunits � � <br /> _ Bathtub _, Forcedalraystems � <br /> _ Lavatory(wash basin) _ Gas plpinp <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal ,_ Gas Rreplace <br /> � Dishwasher �$��8 <br /> _ Cbthes washer _ Cbthea dryer <br /> Laundry tray _ Range hond <br /> � Sink(service/bar/mopletc.) _ E�eustien <br /> _ BacMlow preventer _ Heat pump <br /> _ Urinal _ Unit heater <br /> _ Ddnking Fountain _ gpiler � <br /> _ Floor drain _ Refriperatlon I <br /> Grease trap /C�` ,v'^"— — WoodsMve <br /> Roof drafns j <br /> � Other — �ar <br /> CITV OF EVERETT LOCAL SALES 7AX CODE q��05 <br /> I hereby ceridfy that I have read and examined this applicafbn and krrow the seme to be true and cortect, 411 proviebna of laws and <br /> ordinaces goveming this rype of xrork will be complied with whether speciAed hereln or not.The grantlnp of e permK doea not preeume <br /> to give autharity to vfolate or cancel the provision of any other state or bcal law regulatlrg apnstructlon or the performance of <br /> construction.That I am authorized by the owner of this properly to perfortn the work(p•wh�qi applkatbn ia made and I comply wHh the <br /> State Contradors Law 1827 RCW and 296200 WAC. <br /> ��� �`_ � <br /> a nalure o wner(,o tractonAut onz gent ate <br /> 'IL <br /> � <br />