Laserfiche WebLink
— -- --� <br /> PERMIT APPLICATIvN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM `� ..a� --O � <br /> SITE ADDRESS PARCEL TAX I.D. # P RMIT p <br /> , n C)J �. FrO% O/ OD O Z U � �� � (�O <br /> LEGAL LOi NO. BLOCK TRACT OR SUBOIVISION N <br /> DESC. <br /> OWNEft ' ADDRESS CITYIZIP PIIONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE v '� � <br /> /��,• �C b /��//�:-,Y / Y/ �� E-MAIL ��S. . �/S <br /> z:sAraz���.,OS�,�, ' ��,� .��-€� � �zr�/2,�,0�.s/J <br /> CUNTR.LICENSEp/`�Ivs�S /3r�� oU°� Uv /�/! / S.r���/`/J �fi��/ LL�/O�I. <br /> USE OF BUILDING HEAT SOURCE CONT ACT PRICE OF WORK <br /> �.,r�� ��o�j,` ' _Electr;c _Gas__Olher <br /> WORKDESCRIPTION � ,T�G � <br /> .� � � S / � _ " �� /Z/�G.�/.� /2�v �- <br /> � �sz�� t !�- �rT�d� c .f � � 2' <br /> FY� � ��� . <br /> PLUMBING MECHP.NICAL <br /> NO. TYPE OF FIXTURE OR ITEM NG. TYPE OF FI%TURE OR ITEM <br /> � ��oilel A/C-�ir handling uni�s <br /> BalhNb Forcod air syslems <br /> � Lavatory(wash basin) _ Gas p:ping <br /> Shower Waler hoa�ar <br /> � Kitchen sink&disposal _ Gas liroplace <br /> _/ Dishwashor __ Gas ran�7e <br /> Clo�hes washer Clothes dryar <br /> � Water healer _ Rango huod <br /> j_ scrviceNar/mopl��tc.) _ Exhaust fan <br /> �acklluw preventer _ Heat purnp <br /> Urinal Unit heater <br /> Orinking Founlain _ Boiler <br /> �( Floor drain _ Relrigeration <br /> Grease lrap Woodstove <br /> Roo(drains � Olher <br /> Olhor,����l _ — <br /> CITY UF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> � I hereby cr,rdily that I have read and examinad Ihis applicalion and know the same lo be trun and cerrecL Alt pro�•isions of laws and <br /> I ordinar,es govr.ming lhis type o(work will be complied Hith whe�her spacified harein or not. The granhng of a permil dn�is not presume <br /> '�, lo g�ve aulhority lo violate or cancel Ihe provision of any olh��r state or local law rec�ulating construc�io i or thQ performance of � <br /> ' construclion. Thal I am aulhorized by lhe owner o(�his prc� ::ty lo pertorm Ihe work lor which applicali�n is mado and I comply wilh lhe <br /> ' Slate Contractors Law tA.27 RCVy,a�d zss.zo�wn�. <br /> �� �� y-17 �v �- <br /> I Si9n:�Wre ol OwnedContrac orlAuthonze�Agent Dale <br /> � .. _. ...._._..---- _--� <br />