Laserfiche WebLink
i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810— FAY, 425-757-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRESS #/Q U ?ARCEL 1�AX I.D.# PERMIT# <br /> 3 ��� �!�-'(GF� U � S o 6 � n - r���� <br /> LEGA LOTNO. BLOCK TRACT — <br /> DESC. <br /> OWNER ADDRESS CITYlZIP PHONE <br /> /4�����' c�s� s �� <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR Neun sys:='�*�S xNC, ADDRESS yQ�/3��VL f.F CITY21���Z PHUNE yZ r <br /> 5a1-6�/y� <br /> CONTR.LICENSE p ,' /�155�J � <br /> w � 9)G �-f _ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> / wv� <br /> _Electric _Gas_Olher (psn <br /> WORK DESCRIPTION <br /> ylaf-�79(� (JJ^2 ��-'�(Zfotz 3 ;��.�t <br /> PLUMBING `" MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIKTURE OR ITEM <br /> Toilel FVC—air handling units <br /> Balhlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower W ater healer <br /> Kilchen sink 8 disposal Gas fimplace <br /> Dishwasher Gasrange <br /> Clolhes washcr Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Oackflow preventer Heat pump <br /> Urinal Unil heater <br /> � Dnnking Founlain 6oiler <br /> Floor drain Refrigeralion <br /> _ Grease lrap VJoodstove <br /> Roof drains Olher ,S/1�I�t <br /> Olher � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify that I have read and examined this applicalion and know the same to be true and correcl. All provisions o(laws and <br /> erdinaces govr_rning Ihis typo of work will bo complied wilh whether specified herein or noL The granling o(a permil does not presume <br /> lo give aulhority lo violate or cancel lhe provision of any other stale or local la�v regulating conslruction or lhe pertormance of <br /> conslruclion.Thal 1 am aulhorized by lhe owner oi Ihis property tu perform lhe work tor which application is made and I comply with the <br /> Slale Con aclors Law 18.27 RCW and 296.200 WAC. <br /> ��,2_ Gv-�� �o��o% <br /> Sign o OwnedConlradodAuthorized Agenl Dal �y <br />