Laserfiche WebLink
—c ( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,N!A 98201 <br /> 425-257-8810 -FAX 47_5-257-8857-www.everettwa.org <br /> '/�_`�a,Pp�LICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM 3 ��.7 -0% <br /> '/ <br /> SITE ADDRESS PARCEL TAX I.D.A PERMIT�1 <br /> 3cx�3 w� C�l-Sinin i2.D q ��— <br /> IEGA LOT NO. BLOCK TRACT OR BUB�NISION N <br /> DESC. <br /> 04NNER ADDRE33 CITY I PHONE <br /> �E�NG <br /> TENANT NAME CONTACT FOR PERMR PHONE !LS � � <br /> (30�11�(� I L � �'STI�/�i �p/�SK� e.Ma� <br /> y�H�LCa2irl� /N�f/S��IgC. <br /> CONTR.LICENSE N <br /> USE OF BUILDIN(3 I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> WO�K S�E�'���' Electric Gas Olher 2�/� �Q� <br /> WORK DESCRIPTION <br /> 2�c,o�n-r� Bc.D� Fn-o►� sfi��� �bt� To sr�� lll� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Balhtub Forced alr systems <br /> Lavatory(wash basin) Gea pipinp <br /> Shower Waler heater <br /> Kitchen sink 8 dlsposal Gas Ilreplace <br /> Dish�washer Gas renge <br /> Clolhos washer C�olhes dryer <br /> Water heater Range hood <br /> Slnk(service/bar/mop/etc.) Exhaust fen <br /> Backflow preventer Healpump <br /> Urinal Un�t heater <br /> Drinking Founla�n Boller <br /> Floor draln Relrlgeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALE9 TAI(CODE 18 J70S <br /> 1 hereby ceritify that I have read and ezamined Ihis applicalion end know the same to be true end correct. All provisiona oi laws end <br /> ordinaces governing this type of work will be complied with whether speclfed hereln or not.The granlinp of a pertnit does not preaume <br /> to give aulhoiity to violate or cancel the provislon ol any olher state or local law repulatlng construcllon or the peAormance ol <br /> construclion.That I am aulhorized by lhe owner of thls property to peAorm ihe work for which application Is made and I comply wlth the <br /> Stal Contractors Lew 1 7 W e d 8.200 WAC. <br /> �� � ' 3�'��'9 <br /> ignalure ol OwnerlConfractor/Aulhorized Agent ate <br /> lL <br />