Laserfiche WebLink
S - 1 � _os <br /> P�RMIT APPLICATILN <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 /> X �'S �. <br /> APPLICR,TIONS ARE ACCEPTED FROM 8 AM TO 4 PM - CIEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> L��q �,6� A�c I 'h"��—�_� <br /> LEGA LOTNO. BLOCK TRACT ��/?t� � <br /> DESC. �� <br /> OWNER . ADDRESS CIN21P PHONE <br /> � � � � <br /> TENANT NAME CONTACT FOR PERMI7 PHONE <br /> �Ar I��LLEG, R-C1T1 ��E �v�tiNS 36o �1a�C�.S' <br /> CONTRACTOR �t (� ADDRESS CITY21� P ONE �I S�{��U <br /> �t,���N� F12s`e��AG�t"1 J I�isrns I��c � �13 r C 11v',2 N�,���1`J �k2�t�u�,l�,W�.1 QL3 3 <br /> CONTR.LICENSE q ���N� � � n � <br /> L� <br /> USE OF BUILDING HEAT SOURCE Il CONTRACT PRICE OF IVORK <br /> - - ,�SL/L� <br /> Electric Gas Other <br /> WORK DESCRIPTION / j�QCG^^ � �`/� <br /> ��L JU <br /> i ���i��-�-�C.:�'l/� L77Z/ ' / , <br /> i <br /> P MBING ECH NICAL <br /> � <br /> NO. TYPE O FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Bathtub / Forced air syslems I ' <br /> Lavatory(wash basin) r /�o/i� `' = Gas pipinc� 2 w,�j J- V.PS `"�ti <br /> Shower ,{y,:t_ � Walerheater <br /> � Kitchen sink 8 disnosal � �/ _ Gas fireplace K�cc����v QF'rr�4��� <br /> Dishwasher w,,�,�1 Gas range <br /> _ Cbtheswasher ��/j��- d �,� ,,.,� _ Clothesdr;er <br /> Laundry tray �;>°> Range hood <br /> _ Sink(service/badmopletc.) ` �L� � Exhaust f.:n <br /> BackOow prevenler j Heal pump <br /> _ Urinal � �, Unit healer <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roof drains Other <br /> Other � A �✓ N S'i�tW� <br /> — � ��� <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I hereby cenlify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces c�ooerning lhis type of work will bo complied wilh whether specified herein or not.The granting of a permit does not presume <br /> to give aulhoriry to violale or cancel the provislon of any oBier slate or local law regulaling constructlon or tho performance o( <br /> co t tion.Thal:am�uthorized by the owner of lhis property to pedorm lhe work(or which application is made and I comply with the <br /> St lo M s L 8.27 R and 296.200 WAC. <br /> ,r �, n <br /> ,C�,-rw . J Nns -`1-0 <br /> O edContracrodAuthorized Ac�ent Date <br /> \� <br />