Laserfiche WebLink
� <br /> _ � - -_ _ _ _ _ - - - <br /> PERMIT AQPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 / z �b `D y <br /> 425-257-9810-FAX 425-257-8857-www.everettwa.org � l�� I � .� -L',-�_ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT R CREDiT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT p <br /> ���j CJv- <br /> LEGAL LOTNO. BLOCN TRACT <br /> DESC <br /> OWNER rpqtE55 CRYlDP PHONE <br /> ��t/�/C��ri� a,� S 153ln S , >i, � /:�s41 .���o-�s� -i� ls� <br /> TENANT NRME CONTAGT FOR PE MIT i'HONE <br /> /��il'e �a�� Ps 3G�-GS3- yZti Z <br /> CONiRACTOR W�{��. �,nr�l, j�E55 CITV?1P P7n E <br /> /O� /�/U( /t�Ar�s vi!!�wA 95 2 3�D <br /> CONiR.UCENSE M �5.�-yz 6 � <br /> W KA�C i 33�'F <br /> USE OF BUILDING HEAT 30URCE CONTRACT PRICE OF WORK <br /> Elech�c �Gas Othei � (����- <br /> ou c ' <br /> WORK DESCRIPTION <br /> �^•l q� �-[h7/CJ/� <br /> _L-l�l--�— — <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%NRE OR ITEM NO. TYPE OF FIXNRE OR ITEM <br /> ToBel AIC-ar handpn{�un�ts <br /> — d�n�h�� Porced air systams <br /> Lavatory lwash bavni Gas pi(�ng <br /> Shower ._ Water heater <br /> Kilchen sinF 8 Ais�insal _ Gas hreplace <br /> Disl�washer _ Gas range <br /> Clotlies washei _ Cbthes dryar <br /> � Laundry tray _, Range hood <br /> SinAlsarvi�e/barhnop/eb: i _ Exhaustfan <br /> Backllow preventFi _ Heat purnp <br /> —' Unnal Unrt heoter <br /> Clrmking Fountain — �O1�e/ <br /> Floordrain _ Rehgera6on <br /> Greasa hap _ lhbodstove <br /> � Roof drains _, OMer__ <br /> -_ O�1P.1 __ - - <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS D105 <br /> I heieby canMy tliat I have read and examined Mhs eppLcation arni know tlie same lo be t�ve and conect NI proWsrons of laws and <br /> orAmaces governmg tivs type ol work vnll be complied wN�wheCier speaM1ed herem or not The granhng oi e permd does not prewme <br /> to grve auNionty to wolata or cancel the prows�on ol any otliei stale or local law�egda6ng conshuc6on or tlix perlonnance of <br /> construcnon That I am autlionzed Ly tl�«ovmm of tlus poparty to peAorm tho work for wMch eppXw�on is made and I ccmply with tlx <br /> `.'tate Conha tors La B 27 RC W and 29f,200 WAC <br /> %�� ��//7i�117� �2 ���� / <br /> �naNre of Owner Wntradod utlwnze gent � <br />