Laserfiche WebLink
-- PERMIT APPUCATIUN ! <br /> CITY QF EVERETf PERMIT SERVIC�S j <br /> 3200 CEDAR STREET, EVERETT, WA 58201 II <br /> 425-257-8810 - FAX 425-257-8857 -www.ever?thva.org <br /> APPLICATIONS ARE ACCEPTEJ FRCM 8 AM TO 4 PM <br /> SITE ADDRESS I � PARCF_L TAX I.D.# PERMIT# I <br /> � -, � -�,-, -�. <br /> < �' ",,, <br /> � 1 � I� frc� 7 - ��� ��� �f � �'�_� � c :.�;' „'�� ��' i� � i�-1 <br /> LEGA LOT NO. BLOCK TRACT OR PiISBDIY1510N�p <br /> �� oesc. -i � " 3 7u 1-�U i=vr_�'E� A�V � <br /> I OWNER ADDRESS CITY2IP PHONE <br /> i <br /> � �i^S i-; ni��Pzri-, :�:. ��? ? C. I� ;.,�,h���t E��-r-W��'f_�z��l 9� � ' -� <br /> � S-�5�-6Gs , <br /> I TENANT NAME CONTACT FOR PEflNIIT PHONE � � 7 a" <br /> �/,S- 54-6�5 7 <br /> /'�/� "1 vh t' V ,,�nrr�_�t�h.l..icn <br /> � � II E-MAIL7� �CV.'t:V;;f�i.� J;! <br /> CONT TO � � A �� C / I E <br /> � ��ll,rc Co�.,iF+.�cric:� �'dzs�C �nC� <br /> I CONTR.LICENSE A - 7 7 l U:J � � - <br /> /t�L1hL'/EGC�Dr .'� 1.. , Cc� y r� � t/c.`.('('1'1—!✓� ���C � 1L5�49-�: y " <br /> ' USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ', 1�Yt.r J:-�:��i4� �Eleciric _Gas_Olher � q � i <br /> �� WORK DESCRIPTION I <br /> '� �'��:.�,.� I�•���:h ���.��,�,�Ty <br /> PLUM8ING MEGHANICAL <br /> ' N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OF ITEM <br /> I Toilet _ A�'C-air handling units <br /> , Bathtub Forced air syslems <br /> � _ Lava�ory(wash basin) _ Gas piping <br /> j _ Shower __ Waterhealer <br /> 'I _ _ Kitchen sink 8 disposal _ Gas fireplace <br /> � Dishwasher _ Gas range <br /> � Clothes washer _ Clolhes dryer <br /> �� Water heater Range hood <br /> Sink(servicelbar/mop�etcJ _ Exhaust fan <br /> Back(low preventer _ Heat pump <br /> � Urinal _ Unit heater <br /> � ._ Drinking Fountain Boiler I <br /> Floor drain Refrigeralion <br /> _ Grease Irap Woodstove <br /> � Roof drains Other <br /> , Other <br /> CITY UF EVEFETT LOCAL SALES TA%CODE IS 3105 <br /> � I hereby ceritify Ihat I have read and examined this application and know Ihe same ro be irue and correct All provisions of laws and <br /> ordinaces governing this type of work will be complied with whelher specified herein or not.The granting of a permit does not presume <br /> Io�ive authoriry to viqlate or cance�the provision ot any other state or local law regulating construction or the performance o' <br /> � consiruction.That�dm aulhorized by the owner ot this property to perform the work lor which application is made and I comply with the <br /> S;afe Contraclors�aw 78.27 F�CW and 296200 WAC. <br /> --�� �, � y. <br /> S�gna u e ot OwnedCont t r/Authorized Agent ate� <br /> _._ _. _. _. .__.----- — --- —� --- —� <br />