Laserfiche WebLink
--- <br /> -------- <br /> '� -- <br /> -- -- ----. ---- ------- -. <br /> PERMI'T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES i z —a u'�i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 S��2,�p�'J� <br /> 425-257-8810—FAX 425-257-8857 —wvrw.everellwa.org <br /> APPLICATIJNS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADnRESS PARCEL TAX I.D.l� PE IT# <br /> LEGAI �OT N0. BLOCK TRACT OR SUBDIVISION N � <br /> DESC. 2 <br /> ADDRESS CITY2IP PHONE <br /> OWNERYOW�IG 1A�A���EN�S <br /> ( ISr►�nl accr,n�anntil 1114, 6"s'iPN� SY-f�TilF ��1D1 (9bin)41Q1-45351 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE/�����2�''�3'� <br /> \w <br /> E•MAIL � �s '7l�{ <br /> N <br /> SkIOREl1��S1Gt.S EAwN1NC� SrIOR�IsN� (,ZOIo� <br /> CONTR.LICENS�a�0���1�w I�1Q'� �1,l�R�A 'fNEN• q��� �Z'$�73? <br /> OYI CONTRACT PRICE OF WORK <br /> USE OF BUILDING HEAT SOURCE <br /> L1p(v1N\�'(�,IAL. _Eleclric _Ges_Olher �� I �� ' �� <br /> WORKDESCRIPTION ����, �y(1� �U,.U,M1c�S+PfTED CP.�INLT S1G� �ONE 61� w'�r�`f- <br /> �l.��AT10N�1 D Ot�G ON Nd4T1-1)A1�� �DNN�S"'70 Cti�l��t- �%�����TS �� 4 <br /> �RS. INS'j19'l� t�i�/(1) o.1Dt.5- It,�L1M1NH'i��D D1M�lOt�P►1- LC�R�. <br /> PLUMBING MECHANICAI <br /> N0. TYPE OF FIXTURE OR ITEM <br /> Np, TYPE OF FIXTURE OR ITEM <br /> NC-eir handling unils <br /> Toilet — Porced air syslems <br /> _ Balh'�ib Gespiping <br /> Lavatory(wash besin) — Water healer <br /> Shower — Gas fireplace <br /> Kitchen sink 6 disposal Gas range <br /> Dishwasher — Clothes dryer <br /> C�othes washer Range hood <br /> Water healer Exhausl tan <br /> Sink(servicelbar/moplelc.) — Heat pump <br /> Backflow prevenler — Unit hea .r <br /> Uunal — Boiler <br /> Dri�iking Fountain — Refrigeratlon <br /> Floc�drein — 1/�ppdstove <br /> Greea^trap Other_� <br /> Rao�drains '— <br /> Other -- <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> I hereby certity thal I have read and examined ihis application and knc+w the same to be true and correct. All provisions oi law•;and <br /> ordinances goveming Ihis type of work will be complied with whelher spocified herein or noi.The granling of a permit does not prasume <br /> (o give authonty lo violate or cancel the provislon o!any other stale or local law regulaling construction or lhe pertormance oi <br /> conslruclion.Thal I am authorized by the owner ot lhis property to perfonn Ihe work lor which application is made and I comply with the <br /> State Contractors Law 1827 RCW and 296200 WAC. <br /> ��� „ ��r,,�o R ► a��� � izJ�Ring— � <br /> Signature o Own ! t ac o uthorized Agent � 1e Z- <br />