Laserfiche WebLink
. <br /> P�RMIT 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 I.D. p PERMIT# <br /> (G� C�f� f,T�« 1— �o5c� �.� - 3ys._ �,,s�-�� �_bia - y� <br /> LEGAI LOT N0. BLOCK �eg—al descnption. St Nicholas AdA�Ik 395 D- <br /> DESC. �5 ti/ Z(�, � 00- Lots 25 8 26 <br /> I OWNER ot Number z5 PNONE <br /> � T ai�k in �45 '�.�5 2 5� G .3�1� <br /> (���v i r�� �r1 r�r:� 1 k��c>; i 9 �� (�1�1�� rti�.. r �✓�>k.r'rf— <br /> TENANT NAME I CONTACT FOR PERMIT PNONE <br /> 5 ,� 1=,s�ic�z 3��� �(a i-� ss � <br /> CONTRACTOR �'� Q n�,A,j��,,�� ���VeDDRESS r , �� I` � �ITY21P PHONE <br /> r � lZ l�� ij� 't- tI G'�i�t�� '�IrO-75�-�`��'l <br /> CONTR.LICENSE k �'� <br /> USE OF BUILDING I HEAT SOURCE I COHNTRACT PRICE OF YIORK <br /> 1'��' � � ,' i", i t ; ���- �Eloc�ric Gas Other ` g� q,s v <br /> WORK DESCRIPTION� <br /> I �C,� J � (� �,�� ,I �.u � ti. , .�,<1•i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet _ A/C-air handling units <br /> ' �athlub _ Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower / Watorhoaler <br /> � Kilchen sink 8 disposnl Gas fireplace <br /> � Dishwashor Gas rango <br /> 1_ Clothos washcr � Clothes dryor <br /> 1_ Walor I�eatr,r Range hood <br /> Sink(sorvicelbar/mop/elc.) � Exhaust lan <br /> �ackllow prevenler Hoal pump <br /> Urinal Unit haater <br /> Drinkinc� Founlain Bollar <br /> Floor drain Refrlgoralion <br /> Groaso trap Woodstove <br /> Roo(drains Othor <br /> Other _ <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br /> I hereby cerility that I have read anA examined this application and know the same to be lrue and correct. All provisions ot laws and <br /> ordinaces�oveming Ihis typo of work will be complied wilh whelhor specifiod herein or noL The granting ol a permit does not presume <br /> lo givo aulhorily to violate or canr.el the provislon of any olher stale or local law regulating construclion or the pedormance of <br /> conslrur,lion.That I am authorized by Ihe owner o1 this property lo perform the work(or which application is made and I comply with the <br /> Slate Contractors Law 10.27 RCW and 296.200 WAC. <br /> �\ / �. <br /> �� � I -, v��-� . /U /9 <br /> SignaWre o� wnodContrac�od�uthorizod A�onl te <br /> ��Z <br />