Laserfiche WebLink
�, PERMIT APPLICATION q _ o � -07 <br /> '� 1,� CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 Pl� ��j� - �� <br /> 425-257-8A10 - FAX 425-257-8857-www.everettwa.org <br /> ;,( , �� APPLICATIONS ARE ACCEPIED FROM 8 AM TO 4 PM <br /> ��� U� ��<<. <br /> SITE ADDRESS PARCEL TA%�.D.p , Q�RMIT p -� <br /> QS�Sor'l� �-t`L�/P�C7 2f'?CJ`�C� lc�O?�C� �jC�.�� �� /�7��ir - [:J�� , <br /> LEGAL LOT NO. ELOCK TRACT OR SUBDIVISION N , . <br /> DESC. 7 --__'__ ..-�. <br /> OWNEW ADDRESS CITY/ZIP PHONE <br /> �Q��-��l.11 �VEI-G'MP-�`IT �Cd�oo �x1tN�Ew1TER �EAT't�- I ��� ''I�IS-O55S <br /> CpY+1PANY PARKWAY,Sr��« `a�'L 9�1� <br /> TENANT NAIAE CONI'ACT FOR PERMIT PHONE <br /> �� � � �r;�;�1�= � ��II ��►� LLA���IF� �S--co�lco •la�Y� <br /> CONTRACTOR �.1�"�ONI AUDOO �1CFICEAJTECl CSEP'TTLE LCXo' CJ�3��0 <br /> C1�/.1S?RI.IGTIe�J �A�G �(� � <br /> CONTR.LICENSE kPANA't'c l 9aN R ���`��Y� �� �L 9�1�� <br /> USE OF BfJUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> S��iTI�-/�'4"�C�' Electric �Gas olher �J��1-lr ��� <br /> WORK DESCRIPTION �� �J 2�� � ��� �— ��LT �NcI�ET� <br /> WR>`sC�1/�L '�J�Lp WC� �1' - �� <br /> � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTUPE OR ITEM NO. TYPE OF FI%TURE Ofi'TEM <br /> Tollet __ N�C -air handling unils <br /> Ba�htub ___ Forced o`r syslems <br /> Lavatory(wash basin� __ Gas piping <br /> � Showcr __ Water healer <br /> Ki�chon sink 8 disposal __ Gas liieplace <br /> Dishwasher ___ Gas range <br /> - Clothes washcr _ Clothos dryer <br /> � - Wnter healer __ Rango hood <br /> Sink(scrvicaibar/mop'cic.) _ Exhausl fan <br /> Backllow preventer _ Heat pump <br /> � Urina� _ Unil heater <br /> Drinking Founlain ___ Boiler <br /> flaordrain __ Relrigeration <br /> � - Greasetrep ___ Woodstove <br /> �j� Rooldrain:✓$Cl��L`� — Olher---- <br /> Other--------- -- --- <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS�105 <br /> I hereby cerilily thal I have road and examined ihis appticalion and V�now Ihe same to be true and correct. All provisions ot laws and <br /> ordinaces govermng lhis type ol woik will be complied with whelher specilied herein or no�.The gran�ing ol a peimit does not presume <br /> to give aidhority lo violate or cancel the provision of ony olher slate or local law�egulating conslmclion or ihe periormance of <br /> construclion That I am aulhorized by�he owner ol lhis pmperty to perlorm Iho work lor which appliwtion is matle and I comply wilh Ihe <br /> Stat Contraclqrs L�. �7�CW and 296.200 WAC. <br /> .�`�� � `�r�`���"1 <br /> � <br /> S n.Iwe ol Ownen ntrac�or/Authorized Agen� ��e ���J <br /> _' <br />