Laserfiche WebLink
P RMIT APPLICATI N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 � <br /> 425-257-8810-FPJC 425-257-8857-www.evereriwa.org 'g- 3-� <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM �� D�D 7 '�D� <br /> SITE ADDRESS PARCEL TAX I.D.N Pf,RM1T A <br /> Z ewi �tve o � 07 - <br /> LEGA LOTNO. BLOCK 7RACT <br /> DESC. <br /> OWNER� �'�c `1Up� LLC �DRE S C RI PH NE <br /> p `� 84as I�O�'st s� s„�ho►r��sl, `1�° <br /> 7ENANT NAME I CONTACT FOR PERMIT FMONE <br /> ������Cf�n)rS � C �'-sEr�r—u�——L—t�l.l—j"k.�i "j 3�c0-170 - 0078 <br /> CONTRACTOR ADDRESS CITY2M PHONE <br /> CONTft.LICEN3EN4L�}4�CCi4SOC7' �Qg�y'��ryvP.�C� I�H���IIP 10(.1� 340-`�70-067� <br /> N�1 � <br /> USE OF BUILDING � I HEAT SOURCE CONTRACT PRICE OF WORK <br /> .0' m 1 uSe (J'f—}�C.�— XElectric _Gas_Olher -r'�v � <br /> WORK DESCRIPTION <br /> ��mo�'e� � : • • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilot A/C—air handling units <br /> Balhlub Forced aIr systams <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> � Kilchen sink 8 disposal Gas flreplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water healer Range hood <br /> Si�k(service/bar/mop/etc.) _ Exhaust fan <br /> BackOow prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap _ Woodstove <br /> Roof drains Olher _ <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhal I have read and examined lhis application and know lhe same to be We and correct. All provisions ot laws and <br /> ordinaces governing lhis type of work will be complied with whelher specified herein or not.The granting of a permit does not presume <br /> lo give aulhority to violate or cancel lhe provision of any other state or local law regulaUng construction or the perfortnance ot <br /> construction.That I am authorized by the owner of this property to perform the work(or which application Is made and I comply with the <br /> State Contraclors Law 18.27 RCW and 296.200 WAC. <br /> ��'� �'`/I� ('r� 7.�-07 <br /> 9lgnature o wner ontractodAuthonzed Agent Dale 'I <br /> Z <br />