Laserfiche WebLink
P��r��rr .Q��PLICATION <br /> CITY OF EVERETT PERI�JIIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 S `� 6 `�S <br /> 42�-�57-8810- FAX 425-257-8857-v,nvw.evereth;�a.org <br /> APPLICATIONS P.RE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# � <br /> ZD Y. EYiYe d I D152a00001200 � ��-/-» <br /> LEGAL LOTN . BLOCK TRACT <br /> DESC. ,� SCL• �3 . ZS c L( E., (/V,%�1 . <br /> OWNER ADDRESS CITY21 P ONE <br /> R,�u�J- S'vuvt�l !-Ea�,�ac oC-'E-t�r.e�-�, U.C' 3�1-zs _91e�- r"�' S�E.� +�N- �1�: c�+o.l(,a <br /> TENA TNAME CONTACTFORPERMIi PHCNE �, <br /> —Si���tr_i1.�_ I (� �w1 Ivhns� 4-25•9�0.1�30 � <br /> CONTR CTOR ADDRESS CITY/ZIP PHONE s <br /> Coas-fa-I Cans�},�u,c�+-t� 3y 23 getu p� s.�. �yZ�� ; <br /> CONTR.LICENSE# <br /> COf�STC2G �-�-B, ► F�VERETT, uldfsh( y$209 870- 163v <br /> USE OF BUILDING HEAT SOURCE I CONTRA.CT PRICE OF WORK <br /> ��•N�,,I� rnl) _Eleclric �Gas_Gther ( 0 oUU. ,_ <br /> W R(lS/ESCRIPTIQN ' <br /> (,`priS'�Vl.+-��" N�r-W SII'1g�,�. -�uvnllt� Y�S1�2vlC� / � � � <br /> � �l=f}� I C_ /Y-� � �— , <br /> PLUMBING MECHANICAL <br /> 1�0. TYPE OF FIXTURE OR ITEM NO. TYpE OF FIXTURE OR ITEM <br /> � Toilet A/C—airhandlingunits <br /> ,_� Balhlub <br /> ' .'%- Lavatory(wash basin) � Forced air systems <br /> _� Gas piping <br /> �� Shower � Water heater <br /> � Kitchen sink&disposal � Gas fireplace <br /> _L Dishwasher � Gasrange <br /> � Clothes washer � Clothes dryer <br /> � Laundry Uay � Range 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 �(% Re(rigeration <br /> Creasetrap ��\ Woodstove <br /> _� Roof drains Olher <br /> = Other ( _ <br /> CITY OF EVERETf LOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceritify that�have read and examined this applicalion and know the same to be true and correcL All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authonry to violate or cancel Ihe provision of any olher stale or local law regulaling construcUon or the performance of al <br /> construction.That I am authorized by lhe owner of this properly to perform the work for which application is made and I comply with the <br /> Staie Contre�tors Law 16. 7 RCW and 296.200 WAC. <br /> 1 � <br /> 7GM GC,n��pV iL i : <br /> Signalure � wnedCon � ctor/Aulhonzed Agent Date � �� <br /> J � <br /> v � <br />�. #, .e. <br /> s ` <br /> � <br />