Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERETT,�NA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> Al�YLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.71 PERMIT# <br /> .,Z'��1 �ia�7c� �—�" D �8(�i�ct� �}, ; �,, _ - c. ; � <br /> LEGA LOTNO. BLOCK TAACTORSUBDIVISIONR <br /> DESC. <br /> OWNER ADDRESS dTY21P PMONE <br /> Z�J� <br /> �!c?�� OSI��'ti �'�a�/ (�►�i���� ���/P, ��uf� �Uf�-N �18��� �—��733 <br /> TENANT NAME ONTACT F R PERMfT� ��E Gd'/ /k' J� <br /> I�a�G VJGU�I��S e.Ma�})O�U1Q�C/'y'�Ot1�1 <br /> c mco <br /> GUASNIIuUraN �v�TE2�/�� l� c�w s �P � E �,y..�._ �c� <br /> °o"i,i�Flsi-�rr� YS� oP �I cvue l,�a 9�05 ��k'o <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRiCE OF WORK <br /> 1' C7�I D�il.�,/Y I/ _Cleclric �Gas_Other ���.V <br /> � �. l, �ti_Ci <br /> WORK DESCRIPTION :•": <br /> � i��� s��� C' z�� � �aS ���-�"I'�a�-���- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXNAE OR I7EM NO. TVPE OF Fl%TURE OR ITEM <br /> Toilet NC—air handling units <br /> DatMub Porced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shovrer Z 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/bar/mop/cic.) Ezhaus(fan <br /> Backllow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Pountain Boiler � <br /> Floor drain Relrigeretion ' <br /> Grease Irap _ Woodslove <br /> + Roof drains Other <br /> ' O�her <br /> CITY OF EVERETT LOCAL SALES TAI(CODE IS�105 <br /> I hereby ceiitity that I have read and examined this application and know Ihe same to be tme and wrrect. All provisions of laws and <br /> ordinaces governing this type ol worl:will be complied with whether specilied herein or not.The granting ol a permil does not presume <br /> to give aulhority to violate or cancel thc provision ot any other state or local IaN�reguialing construction or the periormance ol <br /> wnstmction.That I am authorized by it�e owner ol Ihi�,property to pedorm the work for which applicalion is made and I comply with ihe <br /> Slatc� niradors Law 18.27 CW an 7962D0 WAd: <br /> _ �;.C.t, _ 1� �C�C2�((c�_�, �G' ���D� <br /> Sign ure of Own Contractor/Authorized Agent Dale <br /> - -- � ---- --- --- - -----� ---------�---- � <br />