Laserfiche WebLink
r--x � — <br /> PERMiT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREI=T, 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# <br /> _ � `' -Cver fI- � � , �� Se 2�oSf p oo �{ 0950� ' � , . o i 1 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION M <br /> DESC. ' � ' .�. rJ <br /> '�WNER ADDRESS CITY/ZIP PHONE <br /> '�;�eve� M�II o� �,�,c Iz� il �e�+�nv�. P�lvc� �tud�o C���V ('A 9�t�o� <br /> TENANT NAME CONTACT FOR PERMIT PHO E <br /> fhr ��� �/ �1 92scn�o-�c"�t� x�o(o <br /> — ��3'I11iIGf1�UP�'S Uf�i(.('i j���l� 1�� JM���. I E-MAIL EV{'IU�'I� ��'1��� � c'6� <br /> ii •�� <br /> 1' ��� ' U 1 .CD�a <br /> �vis ����x.�le , av-�-� -�}MAve�J. <br /> CUNTR.LICENSE R L.�V11�k7(�?`I <br /> ��tviSiSs� �os �rJ 5+c a.F3c� w� �t�o3c� <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> (J p��`I I ' `n\ � l�I ('_� �I��\ I x Electric _Gas_Other �%�� � �5-� <br /> �<.t, /�1�� iit-ri r _i _ <br /> WORK DESCRIPTION �—S „� PX,s-t-i tn�� v cticc�vit rc+ai � �s��e r uS� us �,h �,f�cz . <br /> IJd C�itvrur WJV1L • ivIVChW ,,�,�n� -�-o iv��lud-e cleiv�olifivn oF exisi,�� res�n-v�M, <br /> vK�,� ��t,l,:uh ��Us, n.ew dvc�rs � cz) vu�-�.� rcf�ks �xnd �- �.ew tZ2 . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM � NO. NPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> � ��_ Dathtub Forced air syslems <br /> �_ Lavatory (wash basin) Gas piping <br /> ` Shower �\ Water heater <br /> Kitchen sink&disposal ���Gas fireplace <br /> �Dishwasher Gas range <br /> ��othes washer Clothes dryer <br /> _ Water heater Ran�e hood <br /> _ Sink�(service/bar/mop/etc.) Exhaust fan <br /> BackfloW preventer Heat pump �'� <br /> Urinal Unit heater � <br /> Drinking Fountain Boiler <br /> _ Floor drain Refrigeration <br /> _ Grease irap Woodstove <br /> Root drains Olher <br /> Other <br /> CtTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify ihat I have read and examined this application and know the same lo be true and correct. All provisions of laws and <br /> ordinances governing this type of work will be complied with whethr.r specified herein or nol. The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other staie or local law regulaling construction or ihe performance of <br /> consiruction. That I am authorized by the owner of this property tc perform lhe work for which applicalion is made and I comply with the <br /> State CoqVactors Law 1827 RCW and 296.200 WAC. <br /> � � }�q' � li�i-L-�/lti ��' ��7'l(i <br /> Signature o Owner/ ontrectorlAuthorized Agent Dale <br /> ---�_ ��Z <br />