Laserfiche WebLink
( � <br /> PERMIT APPLICATION <br /> CI7Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.evereriwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��_� , <br /> ISITE ADDRESS <br /> �j y/�� PARCEL TAX I.D.# I PERMIT k <br /> I il(��� A�r cf�Rma�� 3 I 0053"}9���00530v �� - Q/ <br /> LEGAL LOT NO. BLOCK �TRACT OR SUBDIVISIO^N M(� <br /> DESC. ']� •_--. �F TDC I � <br /> OWNER p ADDRESS CITV2IP PHONE <br /> 1}'1��,#�,ur g�SinP�B ld�k� �Lc ��CP I i A;�Pet1' I�a�Q EYN� `�$ZO Nz5- 21 Z� <br /> �, ��-i y zy90 <br /> TENANT NAME(� CON7ACT FOR PERMIT pHpNE q%�I <br /> Nl� �pin,tX �' h.tb+ �%fa�iC�l � � �It'ji1�19� '1Z5- �'s`/- ir� <br /> 'J L�ih 'C. ,��� S. � E�Aa� <br /> DR � p H <br /> rnt�e.t2+�r �3v7,n,�.o� Pw'k , ��-C. <br /> CONTR.LICENS N �m � y Zs- z�z -z y yo <br /> M��-rZ �P y3y �� �X,. �o.-►z-�, <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �"1 �1 LL ( _Electric �Gas_Other ��� �O <br /> WORK DESCRIPTION <br /> Te�� z�reY�� ��!'f���fov� �O �a� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. I TVpE OF FIXTURE OR ITEM <br /> � Toilet A/C—air handling units <br /> Bathtub Forcetl air systems <br /> Z Lavatory(wash basin) ( Gas piping <br /> Shower Wate�heater <br /> � Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> � Clothes washer Clothes dryer <br /> Water heater Range hood <br /> _ Sink(service/badmop/etc.) � Exhaust fan <br /> _ BackOow preventer Heat pump <br /> _ Urinal Unit heater <br /> _ Drinking Fountain � Boiler <br /> _ Floordrain � Refrigeratior <br /> _ Grease trap Woodstove <br /> _ Roo(drains � Other <br /> Other — <br /> ICITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> 1 hereby certity that I have read and examined this application and krrow the same to be true and correct. All provisions of laws and <br /> Iordinances governing this type of work will be complied with whether specified herein or not.The granting of a pertnit tloes rrot presurr�e <br /> to give authonty to violate or cancel the provision o(any other state or local law regulating construction or the pertormance of <br /> construction.That I am authoriz by the owner of this property to pedorm the work for which application is made and I comply with the <br /> State Conh c s Law 8.27 and 296.20 WA <br /> .,'/�� �res <br /> , � � � � �� 11-��-�n <br /> y OwnedContractoo utpKnzeB A ent � Date <br /> m� .�z+�r�` �c�;n.e�{., �tir�, c L C. �l <br /> L <br />