Laserfiche WebLink
' PI�r�MIT APPLICATIG�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.c;g �sO�,/�j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS H737 E+7FJ'-��W"'t PARCEL TAX I.D.# PEg MIT# <br /> E,�c£Fit-, ,af�. $ � oF B5�'� IS�I -ol- 9 � - fbo.'io3-o10 <br /> LEGA LOT NO. BLOt:K TRACT <br /> DESC. <br /> OWNER C�,�K-�IDE �N��TMF��� ADDRESS N�S/ Q��:.�. v�,LICITY2IP PHONE/+12 �52'IQiS�� <br /> b�av:�a�:i�RDr�t_ <br /> S�R�P� � � <br /> TENANTNAME S-l-6E FLwC$ '�c�[_. CONTACTFORPERMIT WF.NIY{ LRCANE� PHONE La5}355- <br /> CONTRACTOR �oU1�7Coii%,��.TAi�-� ADDRESS ('o.,$r.1�'frz\ CITY2IP PHONE <br /> ciu.ic.SEp �..)R. C�/�S)353 1o7fc <br /> CONTR.LICENSE# (�;(a�C�1-10 I N'-�� <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> _Electric �[Gas_Olher <br /> WORK�ESCRIPTION j i3nittN i SMp'E-��:Et+�EN�� - (}DPj UtT-ICE S`�l �2.` � AbuG cf,JTG2 FCvN�A2./�7rn'b <br /> wA-�`-S��PYc-ec}7G F�ao.�rt r�e,�x oc,f.,��c�c� - Co�f��,.r� r-rwa�oF�,ui G �NDR��or <br /> f/JVI I � J.Iv Ip ��.G(Jh CO�iK�INIS J�liu� �Ul7�M • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ' Toilet �t;� , 'a^r'i FJC—airhandlingunits <br /> Balhtub Forced air systems <br /> Lavatory(wash basin) ;�i . Lor'�,- Gas piping <br /> Shower ✓ Water heater �r,�s7,�µ�T� <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dp�er <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhausl fan <br /> Backflow preventer Heat pump <br /> Urinai Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Giease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby cerilify that I have read and examined this applicalion and know lhe same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br /> to give aulhority lo violate or cancel lhz provision of any other state or bcal law regulatiizg conslructlon or the performance of <br /> construction.That I am authorized by the owner of this property lo perform the work for whir.h application is made and I comply with lhe <br /> Slate Contraclors Law 1827R�C�'196.200 WAC. <br /> �f� 11�t�Nr�v,�'?rnz, 3-17-�5 <br /> Sigpature o(O nedContractor/Authorized Agent Date �Z j <br /> � <br />