Laserfiche WebLink
� �RMIT APPLICAT �.. ,� <br /> ,- CITY OF EVERETT PERMIT SER��ICES <br /> _ ,t � 3200 CEDAR STREET, EVERETf, WA 98201 <br /> � � ft��� � 425-257-8810 - FAX 425-257-8857- www.everettNa.org �v � ��� _�/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT C DS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D. # PERMIT# <br /> ��.c�s��o teo 2vo�o� 00302 �� osio - ��ll� <br /> L[GAL LOTNO. BIOCK TRACT <br /> DESC. � <br /> OWNER ADDRESS CITYIZIP PHONE <br /> ��M �o��u.,,� r�i�- 20�h s�r � �v��r- a� 4-25�08 2$s 2 <br /> TENANT NAME CONTACT FOR PERMIi PNONE <br /> I �G�� D.L � �"?��1 �d�7 <br /> CONTRAf,TOR ADDRESS CITY2IP PHONE <br /> l�K�rnurt c�sr��lcrl� �. 2 +� � s� �tt `�'Ls �2�L <br /> CONTR.LICENSE M (ZO QF <br /> l��� �G6lb"lt'( �- <br /> USE OF BUILDING HEAT SO RCE CONTRACT PRICE OF WORK <br /> � ^ <br /> f"��'��T�� —�--_-[Icctric _� as__Other I i� <br /> �L <br /> WORK DESCRIP710N <br /> ��/�I �jhlS'(ICUG7��(� • �O UPELTS (�(."nd�/ . ��) (�G� � ��. <br /> �- � � � <br /> r� , � , �. . . /, _ / , _ • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> _ Toilct — --�— NC-air hanAliny uni1-- <br /> -- ���������� ,� __ ForceA air systems <br /> --- Lav�tory(w�sh basin) ,1I /� Gas piping <br /> __ _ Shower y_/ --- W�terheali�r <br /> __.__ Kitr,hen sink 8 disposal �-� Gas lireplar.n <br /> �= Oishwnsher ;��1� _ Gas ranc�c <br /> Clulhes washer � Go�hes dryr,r <br /> ___ Laundry Iray ` Ranc�o hood <br /> _� Sink (servicoNaqmop/cic.�\ V) — [xhaust lan <br /> __ OackOow prevonlar \ (� Heat �um <br /> Urinal `X � P <br /> __ Drinkin9 Fountain �/�� _ Unil heatcr <br /> Boiler <br /> __ Floor drain Refrigeration <br /> _ Groaso trap Woodslove <br /> _ Roof drains Othor <br /> 011iar — — <br /> CI OF FVERETT LOGAL SALES TAl(CODE IS J105 <br /> I heroby ceri�i(y thal I havr, read and oramin.d Uiis applicalion�nd know Ihe s5mo lo bo true and correct. All provlsions ol laws and <br /> ordinaces e�oveminp this typo of work will b complied with wholhm specifiod hernin or nol Tho c�ranting of a pormit does not presumn <br /> lo�ive aulhurity lo violato or cancol Ihe pr islon of any olhor slaio or local law regulalin�conslruction or Ihe peAormance ol <br /> conslruction. Tha , �u iorizod by the wnor ol this proporty to periorm Iho work for which application is made and I comply with the <br /> Slato Co a L CW and 2,fi.200 WAC. <br /> ID • 2�•05 <br /> Si jnature o w d ontractorlAuthorized Agent Dato i', <br /> -, l/ �U ��� = <br />