Laserfiche WebLink
., ,. • <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES _..� <br /> 3200 CEDAR STREET, EVERETT,WA 98201 ' � <br /> 425-257-8810-- FAX 425-257-8857—www.everettwa.org <br /> �: <br /> �.,,, <br /> APPLICATIONS ARE ACCEI=TED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TNC I.D.# PERMR q <br /> ��ZG �� �� �riv�_ 2 �,Iv� ho���� G�3'1L3oGooloDi - <br /> LEGAL LOTN . BL K TAACTOFiSUBDIVISIONA <br /> GeS0. C���G I I 3 ; � ,tIU <br /> OWNEH AODflESS CfTY21P PHONE <br /> � Y�1C1�.�'Y�-�✓ L.it�.�o L-C_C �i��210 �vur<�.�wa� � 5}c �C, I �ve-se-El �..YT �iZS�'LIL�z7i� _- <br /> TENIWTNAME � CONTACTFOFPEFiM1T PHONE�3��,� �.5�-'7t1U � ���� <br /> � Y�l0.i.�L� Cvl{�r vise5 LLC I .�s�`+� �avtil�h E-MAIL ��1�„f�' A-iT.ne� ��'�'� <br /> corrrti.uceHseu ���P.o . 3c,k 3��9& l4ti4� ., �r52z3 ���o� �S�-azw ` �� <br /> IMA' CL16L�1S3 It-� '�° � I ��} <br /> Y. <br /> USE OF BUILDING � HEAT SOURCE CONTRAC7 PRICE OF WORK � �. <br /> [{�E-✓L�u�L�lr^ �l-C��I���-F'`'� Eleclric _Gas Other yt;� �G'p5 ��.':.��� <br /> WORK DESCRIf�'T10N ' � ' � �� �-`� <br /> GLi�tiif,�FC clt��(.th�ti, �w�" <<�•���s«P <br /> ��: <br /> r:� : <br /> PLUMBIN^a MECHANICAL � <br /> NO. TYPE OF FlXTUHE OH ITEM NO. TYPE OF FU(TURE OR ITEM `�,~„� <br /> �..._y.y� <br /> _ Toilet A/C-airha�dlingunits I ' �2�s <br /> Balh�ub Forced air systems f ti�*Cry <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas lireplace <br /> Dishwasher _ Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/barlmop/etc.) Exhaust fan <br /> Backflow proventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease hap Woodsrovo <br /> Root drains Olher <br /> Other <br /> — — f � <br /> — — � . .� <br /> CITV OF EVEflETT LOCAL SALES TA%COOE IS 3105 �:�;•y <br /> — i <br /> I hereby ceritify thal I have read and examined this application and know lhe same to be Irue and correct All provisions of laws and �^�'�!4� <br /> ordinaces governing Ihis type of work will be complisd with whather specified herein or not Tho granting of a permit does not presume �`{'w,',+� <br /> to give authority to violate or cancel the provision of any other state or loral law regulating consWction or the pedormance of �; <br /> conslmction.That I am aulhorized by the owner of lhis propehy to peAorm the work for which application is made and I comply with the .� <br /> Coniraclors Law 18.27 RCW and 296.200 WAC. <br /> I.�� <br /> \O\\O\O`l ���z„ <br /> e of�avner/ ontractor/Authonzed Agen[ Da�e f �"+?+ <br /> �� <br /> ���:;.. <br /> "'� � � <br /> � � :?d.�� :`� . - �... .: .� . ..� s� .. '� <br /> � s� <br /> E..`~�� +� � � ra v � �` '� � ������^^w.e.�. �....��✓„"'.."'-ro�wv�.»+l�.�q,j� iY' �p� t �.-. <br />,.� '"�`•�-.'�" "11t .. �' q\y �:?{n�As+T ���tY$�`Y �,��.g� �� l <br /> r <br /> `y. '" rc�ta:y- Y . �� + �. � mtxaJ�' ,� .� <br /> 1 � <br /> +, � �.\' +4.r � �—_ _ _ �_., »s.aa!u.�w._..,-_ ^"rM�►''. ' <br />