Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 12 _�� <br /> 425-257-8810-FAX 425-257-8857-www-everettwaorg <br /> -V..r - Cf? C- jocl • <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.0 P PERMIT 0 <br /> /.3.2 1 C,>I b e y ��. oo y38 S�4/6„0000,2 c i l (. ::3j <br /> LEG'.L LOT NO. BLOCK TRACT O�+SUBDIVISION.! <br /> DEC /. /c. e26 <br /> O� f/o/ { 0T°6vc�r lr Dilii.;.br, de <br /> OWNER ADDRESS q /� �/`CITY21Arne <br /> P� /`PHONE <br /> P/t,vecicnc_ /1 4t?0I Conf'C�� /GU 4.c •T.'c , &,orr75'` 6./4q ,I <br /> TENANT NAME Les <br /> FOR PERMIT PHONE Ear SSo�9Yf <br /> VU. Z..., �t2/c�S L..es Cr- kk( E-MAIL /eS s' je-h.II. co <br /> CONTRACT# AbOAESS l CITY/ZIP PHON <br /> c,�Rtti Coe S/" �� /yiL, a ItA S+Sw S**A E; « <br /> , ff, c 3 -2s-/28. <br /> CONTR.LICENSE I CiaPI rt o� 38G D,wQE/LC/ <br /> USE OF BUILDING �/� HEAT SOURCE CONTRACT PRICE OF WORK <br /> /, <br /> i)S,moo, T r/ / Electric Gas Other W/B? 'v - <br /> WORK DESCRIPTION n p <br /> J„Sf./( a-,1t/nnQ/ Net.- Rn�c,ti+., di/A O/� e , /'�,JY>r,r,.' <br /> a <br /> (� a,1�ti1 i,G 1 Teu.- L._-r•�-/c-c.) S.y,1.l . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toile) AC-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower -- Water healer <br /> Kitchen Sink&disposal Gas fireplace <br /> Dishwasher _ Gas range <br /> _ Clothes washer Clothes dryer <br /> Water heater _ Range hood <br /> Sink(service bar mop etc ) Exhaust Ian <br /> Backllow preventer Heat pump <br /> Urinal Unit healer <br /> Drinking fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodslovo <br /> Roof drains _ Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby centity that I have read and examined this application and know Iho same to be true and correct Alt provisions of laws and <br /> ordinaces governing this typo of work will be complied with whether specified herein or not The granting ill a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> eonstructi. hat I am authorz•d by the owner of this property to perform the work for which application is made and I comply with the <br /> State •ntr, . ors La 18 27( W a�•296 200 WAC <br /> '� /1) /50ZOg <br /> Signature of • er.Contractou Iho Agent ! ate <br /> r <br />