Laserfiche WebLink
RL�ZMIT APPLICATIC���I <br /> CITY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org /�� l/� �� <br /> �� <br /> APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRE53 PARCEL TAX I.D./1 PERMIT N <br /> �7 S ����T 0043g31.�bo09o0 Ca�oq-p� <br /> LEGA L07N0. BLOCK TRACT <br /> DESC. Lq'T U E�t C�T O U ��O �� <br /> OWNER ADDRESS CITY2IP PM NE <br /> NARc� Q�oS, C�Ns'�. 39� 0'7��.►s Everei� 9H2w- ��25 347-�3h0 <br /> TENANTNAME I CO�;FORPR�� PHONE <br /> 1 fl ►��s-aqo-a�a9 � <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> NtaAck 8�os, CoNST. 3�aa. �`ra n��• NE ttierct+ qfo2cls <br /> CONTR.LICENSE N y2�3q�736 0 <br /> H��a,ck Q�n� Z �l��o�4�b <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF 4VORK <br /> �� 1 (� I Electric �Gas Other I�� <br /> WORK DESCRIPTION <br /> s � ��, � �l� �- <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Tailet AIC—air handling units <br /> Bathtub � Forced air syatems <br /> � Lavatory(wash b^sin) Gas piping <br /> Shower 1_ Waterheater <br /> T Kitchen sink 8 disposal � Gas fireplace <br /> I = Dishwasher L Gae ranpe <br /> � Clothes washer � Clothea dryer <br /> Laundry tray Range hood <br /> Slnk(servlce/badmop/etcJ � Exhaustfan q, <br /> _ Backflow preventer Heat pump <br /> _ Urinal Unit heater <br /> i _ Drinking Fountain Baller <br /> _ Floordrain Refrigerallon <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other — <br /> — .� <br /> , ✓ <br /> i — <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 7105 <br /> i I hereby ceritify that I have read and examined this applicatlon and know the same to be true and correct. All proviaions of lewe and <br /> i ordinaces governing this rype of work will be complied with whether specAled hereln or not.The grantlnp of a permit does not preaume <br /> to give authonty to violate or cancel the provision of any other state or local law reguletlng consWctlon or the periortnance ot <br /> constructlon.That I am authorized by the owner of this property to pertorm the work for which appilcatlon la made and I comply wlth the <br /> Sta e Contract Law 1B.2 RCW and 296,200 WAC. <br /> � � -13� � <br /> � Si ature wneu ontr onze gent ate 1� <br /> I <br /> S� �`I�;� <br />