Laserfiche WebLink
�- - <br /> , P�R��IIT APPLIC�4TIG�� <br /> � CIT'Y OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRE�SS , PARCEL TAX I.D.# I PERMIT# <br /> 38��5 ,�+`n�Jw�, '� :�v - oo;t 3 6cC i� D�y�q-o�Z- <br /> LEGA LOT N0. BI.00K TRALT <br /> �ESC. <br /> OWNER AODRES:i CIlY21P PHONE <br /> GwS ���r('�ise�S LLC �xJv,s i�G�,- �1�C_ � 4�s) 2�',-6��5 <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> ��L�-L <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE il <br /> �J���s-•v, <br /> USE OF BUILDING I -- HEAT SOURCE I CONTRACT PRICE OF WORK <br /> j 7-'7� Electric Gas Other <br /> WORK DESCRIP710N <br /> � �c��L�-�''_ /�e.� s�._ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR 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 sin�&disposal Gas fireplace <br /> Dishwashe� Gas range <br /> Clothes washer _ Clothes dryer <br /> Laundry tray Range hood <br /> Sink (service/bar/mop/etc.) Exhaust tan <br /> Eackflow preventer Healpump <br /> � _ Urinal _ Und heater <br /> Drinking Fountain 6oiler <br /> � Floor drain Refrigeration <br /> � Grease trap � 'JJoodstove <br /> ' Rocf drains Other <br /> I Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and I <br /> ordinaces governing this rype of work will be complied with whether specified herein or not. The granting of a permit does not presume <br /> to give authonN to violate or cancel the procision of any other state or local law regulaCng consWction or the perfortnance of I <br /> construction. That I am authorized by the owner of this property to perform thi�work for which application is made and I comply witb the ' <br /> optra 'or� 18.2 CW�296.200�,VAC. 9 I <br /> ; �,� L� ��ti,,�,� ��� � � � <br /> /IC�/,(�� i � <br /> . Signature of OwnenContractouAuihorizetl AgEoi � Date <br />