Laserfiche WebLink
/ - /7- G� <br /> PERMIT APPLICATIOP� <br /> CITY OF EVERETT PERMIT SCRVI�ES <br /> 37_00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM' 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT/�� �l� <br /> 1021 SB L'VGRITT MALL WAY, F3LDG"F" �?// <br /> LEGAL LOTNO. OLOCK TRACT <br /> I DESC. <br /> OWNER AD�RESS CIN21P PHONE <br /> �ODBLESTONE COTTAGE HOM[S, LLC 1312 G LAKESHORG DR LAKE STEVLNS 98258 (206)406-1213 <br /> �I TENANTNAME I CONTACTFORPERMIT PHONE <br /> � I:GN ROE3INSON-ELMSLIE (360)403-7462 <br /> CONTRACTOR AUDRESS CI1Y21P PHONE <br /> R06INSON PLUME3ING INC. 29330 I24TH AV8 N.L. ARLINGTON 98223 (360)403-7462 <br /> CONTR.LICENSE M RO-F3I-NP-'272C2 <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> SINGLG PAMILY RESIDLNC6 Eiednc Gas Other 52035 <br /> WORK DESCRIPTION <br /> INS7'ALL PIRF. SPRINKLER Sl'STEA4 IN NC•N' SPR <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FI%TURE OR ITCM NO. NPE OF FIXTURE OR ITEM <br /> Toilel _ A/C—airhandlingunits <br /> Bathtub Forced air systems <br /> Lavatory(vrash basin) Gas piping <br /> Shower VJater heater <br /> Kitchen sink&disposal Gas freplacc <br /> D�shwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> � Floordrain Re(ngeration <br /> ii __ Grease Irap _ Woodstove <br /> ii _ Roof drains _ Other <br /> ��� � _ O�her lo S�'R[NKIJiRIII[AU5 <br /> il — _ <br /> II � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � I hereby ceritify that I have read and examined this application and know the same to be true and cortect. All provisions of laws and <br /> ; � ordinaces goveming this type ot work will be complied with whether specified hereir,or noL The graNing of a permit does not presume <br /> I to give authonty to violate or cancel the pruvision of any other state or local law regulating construction or the pedormance of <br /> r.onstruction. That I am authonzed by the owner of this pmperty to pertortn the work for which application is made an�I comply with the <br /> State Contraclors Law 1827 RCW and 296.200 WAC. ' <br /> I � I i <br /> � i ; l �'� i � ! il�_�� <br /> Signature ofZ w�nedContractor/Authonzed Agent � ate '.�� <br /> . � <br />