Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX�.D.K PERMIT 1 <br /> • p��n�, -01`� <br /> LEGAL LOT NO. BLOCN TMCT <br /> oEsc 4 002 D-00 I3everl � Hane Tracts Div 1 <br /> OWNER ADDRE55 CITYIZIP PHONE <br /> Boys & Girls Club of Sno. County 4322 Rucker Ave Everett 98203 (425) 256-2436 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Gary Parkinson Architect (425) 252-2153 <br /> CONTRACTOR ADORESS CITY2IP PHONE <br /> To be deter,nined <br /> CONTR.LICENSE t <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �ctivity c]ub _E�ectric XGas_Other �50�00� <br /> WORK OESCRIPTION <br /> A tenant improvement for the G,483 sq. ft. activity club. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE UR ITEM NO. TYPE OF FIXTURE OR IiEM <br /> Toilet A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basm) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 dlsposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Leundry tray Range hood <br /> Sink(service/barlmop/etc.) Exhaust fan <br /> BackAow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Rool drains Olher <br /> Other <br /> CITV OF EVERETf LOCAI SALES TAX CODE IS�105 <br /> I hereby ceiitity that I have read and ezamined this applicaGon end know the same to be true and corred. All provisions of laws end <br /> ordinaces governing this type of work wdl be complied with whether specified herein or not. The granting ol a pertnit does not presume <br /> to give authority to violate or cancel ihe provision of any other state or local�aw regulating construdion or the peAormance ol <br /> construction. That I am authorized by the owner of this property to perfortn the work for which epplication is made end I comply with the <br /> State Contredors Law 18 27 RCW and 296.200 WAC. <br /> SignaWreo wnedContrector/Authorized gent ate � <br /> L <br />