Laserfiche WebLink
; <br /> i PERMIT APPLICATION <br /> CITY nF EVERETT PERMIT SERVICES <br /> 3200 icLIAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> I r1PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT It <br /> 3� irE �o� olo 0000 00 -200-30� "6`� I <br /> LEGP.L LOT NO. BIOCK 7RACT OR SUBDIVISION fl I <br /> DESC. <br /> OWNER ADDRE55 CITY/ZIP PHONE <br /> 0✓LR-�T bMv►�t�.�W1:K l..t� 2Z�7 RoG=�x.Y. Ih�' �'+T'�w.� yfszo► <br /> TENANT NAME CONTACT FOR PERMIT PHONE ��.,10�_�� <br /> us �Atimw�oR.ics �i f-�,�'z"� R�' ��' <br /> aa�rr�rak C 6���oN m.,n AwNwaz�rr�M�`�as���l@a��sh s.r.r.•. <br /> ES&k �jlb►.6 M.�n/lwN u.ne4 �fi9'15 I�+iri�-Kd. FaLE#TtE �O R�{74aL 9H•'�S•55'K <br /> CONTR.LICENSEM rCSl�li�c�l��{,/ <br /> G� <br /> US�OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ����.�1/ /G'""'�7 Electric Gas Other 87��'�' <br /> WORKDESCRIPTION +��y� (wUN��ht�D f.()�17-t�51lo�.! <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITtM N0. TYPE OF FI%TURE OR ITEM <br /> _ Toilet A/C—airhandlingunits <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower VJaler heater <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Waler heater Range hood <br /> Sink(servicelbar/mopletc.) Exhaust fan <br /> BacY.11ow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Greaso trap Woodsrov� <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 1105 <br /> I hereby certify that I have read and ezamined this application and know tho same to bo true and correct. All provisions of laws and <br /> ordinances goveming lhis type of work will bo complied with whether specified herein or not. The granting of a pertni�does not presume <br /> to give authonry to violate or cancel the provision ot any ofher state or local law regulating construction or tho performance of <br /> construction. That I am authorized by the owner of this property to pedorm the work for which application is made and I wmply with the <br /> Sta1 tractors La��W nd�WAC. <br /> 3�2�9��01� <br /> Sigr,ature of OwneNContraclor/Aulhorized Agent Date <br /> I/` <br />