Laserfiche WebLink
, � <br /> • PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257•8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �Broadway � /�,��5/ <br /> O <br /> LEGA LOT NO, BLOCK TRACT OR SUBDIVISION tt <br /> DESC. zyg Hil�on's Second Addi�ion lo Everetl <br /> OWNER CO�lnlu�ily H2211h CCnICf o( ADDRESS CITY2IP PHONE <br /> Snohomish Counry (CHCSC) 8609 Everett Way Everett.WA 98208 425-789-3700 <br /> TENANTNAME CONTACTFORPERMIT PHONE z06-467-8500 <br /> Owner-CHCSC Brel Coonrod E-t.taL bret@jrabbotLcom <br /> O CTOR ADDflES 1 21 PMO <br /> J.R. Abbolt Conslruction 3408 First Acenue S. Seattle. WA 98208 206-467-85U0 <br /> cON7a.uceNSEa JRABBCI022JZ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Professional Services, Pharmacy X ' <br /> _Electric _Gas_Other (���� <br /> WORK DESCRIPTION <br /> Locate a temporary trailer, measuring 9'-10"x 42'-0"in size, along tlie soulh side ot exisling 6uilding 'A.'Conslruct <br /> wood-tramed elevaled deck and associaled accessible ramp. For lemporary ulilities-lie into exisling auilding 'A.' <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TVPE OF FIXTUHE Op ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas tireplace <br /> Dishwashcr Gas range <br /> Clolhes washer Clothes dryer <br /> Water heater Range hood <br /> 1 Sink(service/badmop�etc.) Exhaust lan <br /> _ Backllow preventer Heat pump <br /> Unnal x Unit heater <br /> Drinking Fountain i Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> � Rool drain�`�� Olher <br /> Other � L[rYLll�, _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity tha�I havo read and examined ihis application and know the same to he lme and correcL NI provisions ol laws and <br /> ordinaces governing this type oI work will be complied wilh whether specli!ed herein or not.The granting of a permit�oes not presume <br /> to give authority to violale or cancel the provision ol any other state or local law rec�ulating constmclion or the perlormance ol <br /> consimction.That I am 2uthorized by lhe owner of this property lo pertorm lhe work for which application is made and I comply wilh the <br /> Sla�e CoNractors La 18.J2�RCW and 296.200 WAC.�_ ' <br /> -�,��G�l �l �o �'cj � <br /> Signatura o OwneNConiracrorlAuthonzed Agent Date �Z <br />