Laserfiche WebLink
P'�RMIT APPLICATI(��V e� <br /> CITY OF EVERE;T PERMIT �ERVICES �s� <br /> 3200 CEDAR STREET, EVFRETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8E ' —www.everettwa.org <br /> 4 ���-�-6 <br /> APPLICATIONS ARE ACCEPTED rROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.O.# PERMIT# <br /> 24J�2 �'�6•DWAcY �UQ1'���%(��'U��l DO (�c� l.-W- , <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS CITY2IP PHONE <br /> VO LU f�T�Z25 D{' �-!�2.(C,� <br /> TENANT NAME CONTACT FOR PERMIT PHONE �2C'j�`"1� i <br /> UOI.0 1-[��i�'J� O�A�'f�(� Cb�tT�(/ �4'�:i-I(�CT� � �Nb1��-�, `�(� <br /> CONTRACTOR ADDRESS CITYlZIP PHONE <br /> �--�t''�WI�'l CDi'{STR(X�CDf`4 �ZOf9" 2���'(.S� "��i�tl' VV/� `��ZO�'�" <br /> CONTR.LICENSE B <br /> p�r► � G6 lo"f rtk-- 4`I�•�•2S5 2 <br /> USE OF BUIIDING — HEAT SOURCE I �CONTRACT PR�CE OF WORK <br /> �l�((�� 1> p� <br /> �-O("'(�'"l��-L��/' Eieclric �/ Gas Other ��r�'C'� <br /> WORK DESCRIP710N <br /> Terto.r�lr �c��rzovert�N�t' <br /> ��-co�o� -��sr�r�.� c�. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR�TEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) _ G:+s piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gasranye <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preven�er _ Heal pump <br /> Urinal Unit heater <br /> Drinking Foun[ain Boiler <br /> Fioor drain Reirigeralion <br /> Grease lrap _ Woodslove <br /> Roof drains Other _ <br /> Other _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceriti(y that I have read and examined fhis application and know the same to be true and correct. All provisions o(laws and <br /> ordinaces governing this type ot work will be complied with whelher specified herein or nol The granling of a permit does nol presumo <br /> !o give aulhonty�o vio�ate or cancel the provision of any olher state or Iocal law regulating wnstruction or the performance of <br /> censtruclio Tb t am authorized by lhe owner of fhis property to perform the��ork for which application is made and I comp�y with lhe <br /> Stale Co tr�br L w 8 ��C�nd 296.200 WAC. / <br /> i �� � �'l(/ '�b , <br /> Signature of w rlContractodAuthorized Agent Date <br /> %Z <br />