Laserfiche WebLink
� <br /> � , <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES a 6 -oS ( <br /> 3200 CEDAF STREET, EVERETT,WA 98201 S � <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org � , <br /> APPLICAYIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �`/� / 3 � I <br /> SRE ADDRESS W A. '/fS.�U PARCEL TAX 1.0.X PE �T X� I <br /> i <br /> z'ID 7-A P��� rl���. `��-ecrr' ooqs4l6zsooioo S , O,J_ �'Dc I <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION 1 <br /> oEso. �_ �z�� -o E✓Erz�r% �c.�a r _ <br /> OWNER ADDRESS CfTYlZIP PMONE <br /> sK��o�.� muivn�� �.�..c. � o '[io� s��7 Ev�rzer�- �q (Z982ol0 7S J <br /> TENANT NAME CONTACT FOR PERMR <br /> {:c—y �'�fa.rJK I C.L.iFi� r� irlM e•Ma� Cm�hmN c�s�t�.�c "�; <br /> ONTRACT R t�WNLI U'LG�TLIC SIC'INL'G�. DUF 7���s A. E.1'C'K'IU7 fT721P�k"C/�A V NE/2S3)7ZZ'S7� <br /> t <br /> n�E; w� <br /> COMR.LICENSEN ��U�7��'�I OF- <br /> USE OF BUILDIN6 I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Ur�l('C " [ledric _Gas_Other � ��� � ��� C�'� <br /> WORKDESCRIPTION �A��ICI�TG.y� I1J`�T({I--�- L �i� �F j--'C�,'L�-�iC C1�1nNNC�- �-C'��� <br /> -izna���.lcl ., K��� r•�r_ �a��is".. ��n�.o �U.lin1iu�nar.�, <br /> i�lv.R+c�a1G +1 Ir.�'�1141.1- / i'S" l-v('1Gs - �vi=. v-�5'17�u-LGD I�;�11�� K� 6/v�:+r TCw,�G�z. FraC�S <br /> ,�uo WG cr�s G�1eH �>lDc vK' Cnr'Uj"� <br /> e �116KKATE 4 Wi'TNI.L CwE- `iiN(lll �i�E AX1J " <br /> T � � � MECHANICAL <br /> PLUMBING ' <br /> NO. TVPE OF Fl%TURE OR REM NO. TYPE OF Fl%7V RE OR REM <br /> Toilet _ NC-airhandlingunits <br /> 6athtub _ Forced air systems <br /> Lavatory(wash basi�l _ Gas piping <br /> Shower _ Waler heator <br /> Ki�chensink8disposai ___ Gasfireplace <br /> Dishwashe� _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Waler healer _ Range hood <br /> Sink(servicebar/mop,�elc.) _ Gxhaust lan <br /> 6ackllowprevenler _ �iealpump <br /> Urinal _ Unil healar <br /> Drinking Pountain _ Boiler <br /> floordrain _ Retrigeiation <br /> Greasetrep _ Woods�ove <br /> Rool drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TA7f CODE IS�105 <br /> I hereby centify lhat I have read and ezamined ihis application and know lhe same to be We and correct. All provisions ol laws and <br /> ordinaces governing this type ol work wl�l be complied wilh whefher specified herein or not.The granting ol a permd does not presume <br /> to give aulhontY to violate or cancel Ihe provision of any olher sWte or local Iaw regulating construc0on or ihe pehormance ol <br /> construction.l�hat I m authonzed by the owner of this property to peAorm tha work lor which applicaGon is made and I comply with the <br /> Slale ConVacto�w 18.27 RCW an 296.2D0 WAC. <br /> /1/, /� +J'j� �� .�� � 7(,, aC�7S3' <br /> Signat 1 OwnerlCanlrectodAuthonzed Agem Date I� <br />