Laserfiche WebLink
-- --------� <br /> P�RMIT APPILIi,1ATlt„J <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 —www.everettwa.org i <br /> APPLICATIOP�S ARE ACCEPTED FROM 8 AM TO A PM � 4 36 �Og <br /> SITE ADDRESS PARCEL TAX I.D.# RNIT# <br /> /_��% ' /�oss��;� �v�- � ���7 j'pl -0�(G� i <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# i <br /> DESC. <br /> OWNER � <br /> ADDRES� CIN21P PHONE <br /> �7 `/J5-.353 .S%:C� <br /> i <br /> �1i�-cr � -�o,L� 3 / UR /�vs -c i. ii�i Glit �'�-'' C✓/� `i�'c�C ' <br /> TENANT NAAtE CONTACT FOR PERMIT PHOtJE ' <br /> CONTRACTOR E-MAIL <br /> ,� ADDRESS GTY/ZIP PHONE c�3.S_ <br /> //,!�V��(i��c�' �/1�i�7?l_C,f'�7G.'�� /2C'. /��/f/I'l�ifS' G� - LYiV�.r:.�t.,? - �j�0�7 7Yj',/�'y77 ! <br /> CONTR.LICENSE# � <br /> A t)vi9NLTn 3 3��c/ � <br /> � USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF VJORK I <br /> '���. i �� � Electric l,as Other <br /> 1 ., �ifii ,/ "" /���L�J'✓CG= — -� � — I ��7�, �j � � <br /> WORK DESCRIPTION i <br /> � � <br /> �fC '','01%G" T Lt c�'c'�� ��c:��iLs� /it�:'=1�:, 2 �i�5 �6��;C�??Jy- � <br /> PLUMBING MECH.;NICAL I <br /> NO. TYPE OF FIXTURE OR�TEh1 NO. TYPE OF FIXTURE OR ITEM � <br /> Toilel A/C-air handling units <br /> i _ Bathtub Forced air systems ' <br /> _ Lavalory(wash basin) Gas piping I <br /> _ Shov�er Waterheater � <br /> _ Kitchen sink 6 dispoaal � Gas fireplace I <br /> _ Dishwasher Gas range <br /> _ Cbthes washer Clolhes dryer I <br /> _ Water ieater Range hood I <br /> _ Sink(service/bar/mopletc.) Exhausl fan ' <br /> I = Back(low preventer _ I <br /> Heal pump <br /> Urinal Unit heater i <br /> � _ Drinkinc� Fountain Boiler <br /> I _ Floor drain Refrigeration <br /> _ Grease lrap Woodstove <br /> _ Roof drains Olher <br /> Other —' -- <br /> I — I <br /> CIN OF EVERETT LOCAL SALES TAX COOE IS 3105 I <br /> I hereby ceritify Ihat I have read and examined this applicalion and know the same lo be truc and correcL All provisions of laws and � <br /> ordinaces governing this type of worA will he complied with�vhether speci(ied herein or noL The granting oi a permit does nol presume I <br /> Ito give authority to violate or cancel the provision of any othsr state or local law regulatinc�construction or lhe performance of <br /> conslruction.That I am aulhorized by the owner of this properly to perlorm lhe�vork for which applicalion is made and I compty with ihe <br /> � Stale Conlraclors Law 1is.27 RCW and 296.200 WAC. <br /> ��. lf.����; �_ ;�� Jc, I <br /> Signa ure of, neriContraclOr/Aulhonzed Agenl Dale ! <br /> ( 'O�� — - <br /> : ._-- --� .. .. .. ... . . . . .----- ------ ------------'i <br /> � <br />