Laserfiche WebLink
i — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-25� 8857-www.everettwa.org <br /> '/�_ ^ AP�ICATIONS ARE ACCEPTED FRO�I 8 AM TO 4 PM 3 _ao -0 9 <br /> SITE ADDRESS +� �7 PARCEL TAX I.D.1 PERMIT A <br /> 3a�3 w� CASi�✓n �'LD -�1 � <br /> LEGA LOT N0. BLOCK TRACT OR SUBDNISION N <br /> DESC. <br /> OWNER AODRE89 C� H NE <br /> IaQE�NG <br /> 7ENAHTNAME CONTACTFORPERMR PHONE [L,� ' — <br /> (3oEc r�G L , (�STi�n�3o/�k� E�MNL <br /> y'�}FI�L ca�LEl�I lNhlS�R I f}[. <br /> CONTR.LICENSE N <br /> USE OF BUILDINO NEAS SOURCE CONTRACT PRICE OF WORK <br /> WOIL►( S�EL7��Z. _Electric _Gas_Other 2�� 0� <br /> WORK DESCRIPTION <br /> 2�c.o��--� Bc,�� F�n-o+� sr��� � �2 To sT� � �v <br /> PLUM8ING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM N0. TYPE OF FIXiURE OR ITEM �. <br /> Toilet WC—air handling uNts <br /> 9alhtub Forced alr syslems <br /> I avatory h•.ash basln) Ges plping <br /> Sh,wP- � Welerheater <br /> Kitchen slnk 8 disposal Ges flreplace <br /> Dlahwasher Gasrange <br /> Clothes washor Clolhes dryer <br /> Water heater Range hood <br /> Sink(servlce/bar/mop/olc.) _ E�haust fan <br /> Backflow preventer __ neat pump <br /> Urinal Unit heater <br /> _ Orinking fountain Boiler <br /> Floor draln Re(riperellon <br /> Grease trap Woodatove <br /> Rool drai�s Other <br /> Olher _ , <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 7103 <br /> I hereby ceritify thal I have read and ezami�ed thls application and knaw the same to be true and cortect. All provlslons o(laws end <br /> ordinaces governing this lype ot work will be complied with whelher speci(led herein or not.The grantlng of e permll doea not presume <br /> tc give authority io violate or cancel the provislon ol eny olher state or local law regulaUng constniction or the peAormanca of <br /> conslruclion. Thal I am aulhorized by lhe owner of this property to perlorm the wark for wh�ch applicalion Is made end I comply wlth ihe <br /> Sl�Contraclors Law�W e d 8200 WAC. <br /> .�-�,�,��% � � 3����'9 <br /> ignaWre ol UwnedContractor/Authonzed Agenl ate +, <br /> rZ <br />