Laserfiche WebLink
PERMlT APPLICATION <br /> CITY QF EVEFiETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS AAE ACCEPTED FROM 8 AM TO 4 PM � — r}g --0� <br /> SITE ADDRESS PARCEL TAX I.D.ri PERMIT# <br /> �i�-FU K 'Wi�1E►% ^o^��-r-c '�-3 <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESG. <br /> OWNER ADDRESS CITY2IP PHONE <br /> LYnin� Ro:v�� 3C��(�o KRoM �. �"�1E�� `�S zc� I yZ�� ZS 2 zi � <br /> TENANTNAME I COMACTFORPERMIT PHONE 4.Zc� Z��C� (�(Q(p� <br /> JL-VUi�. '...LIN (�..�^S EMAIL <br /> � crn t�Ea.-nr�c, � Nc, ���i��3wa�a�; �-�c-���i�xw� '�Z`' �-`'� <br /> �-�,� � <br /> C�NTA.LICENSE# Cm I��Z ��c�P.`-I- <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric �Gas_Other ���/,�.�Q;Z, <br /> WORKDESCRIPT:ON Ins�ll ��5 •-�}rnC{(e� �(�}" �/�jC(�i'" � 1��-�1 �-� CUY1V2.�t''fi <br /> pro�c��� ��� P �tz' t��-h�r�.l c�a> <br /> PLUMDING MECHANICAL <br /> N0. TYPE OF FIXTURE 0.9 REM N0. TYPE OF FiXTURE OR REM <br /> Tailet A/C-air handling uniis <br /> Bathtub Forced air>ystems <br /> Lavatory(wash basin) Gas piping <br /> Shmver Water heater <br /> Kitchen sink&disposal � Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washcr Clathes drycr <br /> ��,����y� _ Range hood <br /> Sink(service�baUmooletc.) _ Exhaust lan <br /> Backllaw preventer _ Heat pump <br /> Urinal Unit heater <br /> �rinkinp Foun�ain _ Boilcr <br /> Flvor drain Felrigcrafian <br /> Greasehap Waodstove (� <br /> _ Rool drains � Olher -'lL'f (1 Ct C�' <br /> Othcr — <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and knaw the same to be true and corred. All pmvisions of laws and <br /> ordinaces goveming ihis type ol work will be complied with whether;peciiied herein or nut The grantirg of a permit does no�presume <br /> (o givc authoriry to violate or cancel the provision of any other state o:local law regulatiny constmction or the performance of <br /> consiruction.That I am authorized by U�e owner of this property to pertorm ihe work for wh�ch application is made and I comply wiih the <br /> State Contractore Law 18.27 RCW and 296200 WAC. <br /> 17P1�1�.� �' L � ,'�C �-Zb' O�) <br /> Sign re of OwnerlCo2 actor/Aulhon d ent Datc <br />