Laserfiche WebLink
f 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8E357-www.everettwa.org > <br /> �z�� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> q _g-�o <br /> JJ <br /> SITE hDDRESS �'�J ' PARCEL TAX I.O.It PERMIT R <br /> c �-rn��i � ooy C7 - � <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION/ <br /> DESC. — ZO � 22� EVE�"/i SJ6�ivi5�oti 'O � � <br /> OWNER ADDRESS CITY2IP PHQN��`Sys, a��y <br /> /� c � <br /> �A✓E n/ �.l�ivC�s li�/SiK✓c:7io.t/ /S/� �.SSE/i�ScATilf(.di4 gq/03 <br /> TENANT NAME I CONTA�T FOR PERMIT PMONE C}Z S- c �- "`I � <br /> .�� Im�' �F:-.'�lo�'.o ��•'��jN jp�r/ti'�iC�'+�'�i��nC <br /> "�i��mw.. �'r','� [�MAIL Vl�t nc� 1 . <br /> ,9v��v :•v�n�G s c+��i '�e��.r.�vu � s�� �� . ss-t�,s i �,qnt�5�03 aor�).s�s-za y <br /> CONTR.LICENSE R <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> /.' _ � Eleclrlc �ias�Other <br /> /1 <br /> WPpK DESCRIPTION '�� �G S � � <br /> � I I 3 , — <br /> - PLUMBING MECHANICAL <br /> NO. TYPE OF FI%iURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—alr handling units <br /> � Balhtub For ed air systems <br /> Lavalory(wasli basin) 1 Gas piping <br /> � Snower �T Walerheal¢r <br /> Kilchon sink 6 disposal = Gas fireplace <br /> —T Dishwasher Gasrange <br /> % Clothes washer / Clolhes dryer <br /> � Waler hoalar � Range hood <br /> Sink(service/badmop/elc.) � E�cbaust fan <br /> BackOow prevenler Heal pump <br /> Urinal Unil healer <br /> Drinking Fountafn Boiler <br /> Floor drain Ro(rlgeralion <br /> Greaso trap Woodstove <br /> Roo(drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TIU(CODE IS]105 <br /> I hereby cerilify Ihal I havo read and examined this applicalion and know Ihe same to be We and correcl. All provlsions of laws end <br /> ordinaces governing Ihis typa of xrork will be wmplied wilh whether specifled herein or nol.The granling of a pormll does nol presume <br /> lo give authorily lo violale or cancol tho provislon of any olher slato or bcal law regulaUng conaWctbn or lhe peAormence of <br /> conslruclion.Thal I am authorized by Ihe owner ol this property lo perlortn the work tor which applicatlon is made and I comply with the <br /> Slate Contreclors La 18.27 RCW and 296.200 WAC. <br /> J ��'07_ d7 <br /> �ig a ure ol wnedConbacto�ed Agent Dale �/ <br /> Z <br />