Laserfiche WebLink
P�RMIT APPLICATIC�N <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 b - b S-O) <br /> SITE ADDRESS PARCEL TAX I.D.A PERMIT# <br /> 53 � G����'ti�' �1' �o�lio 300 o�a� C C�o7- � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRESS CITYlTIP PHONE �2 t <br /> Wi���a�n St {�u�� � �"�W�l .�53/ C�{�'�"ti� C�t/'G� �Ig�� y���' <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> SA� CL+els ,�eKr�r C�� ��e-6877 <br /> CONTRACTOR ADpRESS CITY2IP PHON <br /> Aand.b�C�.�ixr9c-Ti�Je- �.vc. �/zs,�770-6P"17 <br /> CONTR.LICENSE M <br /> ABCon�/RS'A7� Z�n01 ChPtYx�rr SY �uP2PiT LJP� 98Z01 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> �Co ,�Electdc �Gas_Olher ��� ZQQ <br /> WORK DESCRIPTI <br /> gZ� � A.�O / � � <br /> P UMBING MECHANICAL <br /> NO. TVPE nf FI%TURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> l oilot A/C—air handling units <br /> � Bathlub � Forced alr systems E��,.�L <br /> �_ Lavalory(wash basin) G�s piping <br /> � Sho�ver Water healer <br /> Kilchen sink 8 disposal �_ Gas limplaca <br /> Dishwashor Gasrange <br /> � Clolhos washcr � Clothes dryar <br /> Water hoalor Range hood <br /> Sink(sorvicc/bar/mop/olc.) � Exhaue�lan <br /> BackOow proventer Hnal pump <br /> Urinal Unit heater <br /> I _ Drinkin� FouNain _ Boiler <br /> Floor drain Refrigeralion <br /> Groase Irap VJoodslove <br /> Roof drains Other _ <br /> O�har <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> I hereby ceritiry that I have read and examined this application and know the same lo be true�nd correct. All provisions of laws and <br /> ordinaces governing tl�is tp�o ol work will be complied wilh whothor specif ed herein or nol.The granting of a permit does nol presume <br /> to give aulh�rity to violato or cancel tho provision of any other state or local law regulaling conslruction or lhe performance oi <br /> conslruction.That I am authurized by Ihe owner of this property lo perlorm Ihe work lor which epplication is made and I comply wllh lhe <br /> Stat lr �:rs I.�w 7 .2 RCW and 29fi.200 WAC. <br /> � / Aahlilh __��� <br /> g re o wno nt ictod uthaiized genl ta <br /> �/2 <br />