Laserfiche WebLink
� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8610—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO�!PM �2 .��I•..Q� <br /> SITE ADDRESS PARCEL TAX I.O.N PERMIT A <br /> ,f�:u-rA w�+Y I Ub S�' z�C�G"3G� I ��� �� Z-��3 <br /> LEGAL LOTNO. BLOCK TRACTORSUBDIVISION! �� <br /> DESC. I OU�3 7U� `��G�1 CI�U �n� G�"+1 <br /> OWNER ADORESS C . P PHONE �: <br /> 2�1w }- 6��rc�c���� I��o� �Gr�Ta u�4y �'�-�z�d �1�z.�' 3s3 -vjb'l <br /> TENANTNAME CONTAC7FORPERMfT PHONE y1.i'�)�7 "'��� - <br /> Sr�m�: I STi w�ni ����i�t�) e.�,�ui.STEwF�n�YMfh'cl�d�,�c ,.c�� <br /> '11 � � ��- L�.c�+ nz„�) itnc.�; k,,, yto`� ����-�y�) <br /> OI�(ro(IicMal�c,�ic�l ��c . 21 b' �� Ter�r� �Y�Y <br /> coKra.UCENSE+� �'�' J � J <br /> p(,Yn�i�� I')�ul <br /> USE OF BUILDING I HEAT SOURCE I CONTAACT PRICE OF WORK <br /> !1 S• �Electric _Gaz_.Othor 3 �,l/U v <br /> Iu <br /> WORK DESCRIPTION <br /> ��s�, l� Qv..F�Cs� S �'� � 6(t�f vM i � /Hai.. L���, /}�cu 1't� �, V. �7 . ���✓ � rcn. <br /> PL MBING MECHANI AL <br /> ryp, TYPE OF FlXTURE OR ITEM NO. TYPE OF FlXTURE OR RDA <br /> Toilet NC—air handling units <br /> Bathlub � Forced air systems <br /> Lavatory(wash basin) _ Gas pipirg <br /> Shower _ H'ater heater <br /> Kilchen sink R disposal _ Gas firepiace <br /> Dishwasher _ Gas range <br /> Ctothes washer _ Clothes dryer <br /> Waler healer _ Range hood <br /> Sink(servicelbarlmopletc.) Exhausi lan <br /> Backflow preventer � Heal pump <br /> Urinal Unit heater <br /> _ Drinking fountain Boiler <br /> Floordrain _ Refrigeration <br /> Grease trap — WO0�1O°� <br /> Rool drains _ Other <br /> Other — <br /> CfTY OF EVEREIT LOCAL SAIES TAX CODE IS 3105 <br /> I hereby ceritily that I ha��e read and examined this application and know Ihe same to be true and cortect. All provisions ot laws and <br /> ordinaces goveming Ihis type ol work will be complied wilh whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violale or cancel the provision ol any otYier slate or laal law regulaling consUuction or the pertamance of <br /> construction.That I am authoriz y,the awner of this property lo perform the work(or which application is made and I comply with the <br /> Stale C a ors Law 18. CW and 296200 WAC. <br /> � �2 -(G - rc,� <br /> Si ature o ed cta/ �zed Agent ate <br />