Laserfiche WebLink
P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM � (y /� � <br /> SITE ADDRE33 PARCEL TAX I.D.N PERMIT M <br /> � �� �- ' �d <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. / <br /> OWNER ��y-r� �it�,QG„��/ ADDRE8� CI 21P y�PX�!- ya�9 <br /> f <br /> s�--l•�� ��5fi1M -j'S� � rNl �/.3 �6 PL /�/� /Y/Y!/�v 5 v i���[ wA `�$'�,�L <br /> TENANTNAME I CONTACTFORPERMIT PNONE <br /> . . , " • Y�15��3/-5/a2�.p = <br /> "� � ' 1 � �.v7yio..i�y T/n�-n��• , ,—. <br /> coNrR�croR ��xTG �<�/ ADDRESS CITYRIP PMONE <br /> 1.�-c,d,vs'rrcw~r,o.� s�.�v , . ., • <br /> CONTR.LICENSE X � �• �� ' ., ' ' '� � � <br /> �- Y' �r �.f, �t�tLr' `77i "3 7S��iPL /�l.F '�')')aivS�/�Y��, w,9 q�4a.?n <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _ _Electric ,�Gas_Other <br /> WORK DESCRIPTION a�;� ,Nc� Srn��t F�2M�`rY r�srd�•�-e. <br /> c � i'L- �/�.; ,� n �� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXiURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toilol AIC—air handling units <br /> � BathWb � Forced afr systems <br /> i� Lavatory(wash basin) _� Gas piping <br /> Shower ,�, Waterheater <br /> _L Kitchen sink 8 disposal � Gas fireplace <br /> 1_ Dishwasher � Gas range <br /> � Clolhes washor Clothes dryer <br /> Water heator Range hood <br /> Sink(service/bar/mopletc.) Exhausl(an <br /> BackO�w prevonter Heal pump <br /> Urinal Unil heater <br /> Drinkin� Fountain Boiler <br /> Fioor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roo(drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify Ihal I have read and examined this appiicalion and know lhe same to be true and correct. All provisions of laws and <br /> ordinaces governing this type o(work will bo complied wilh whelher specified herein or noL The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other stale or local law regulating construdion or the pertortnance of <br /> conslruction.That I am aulhorized by the owner of this property to periorm lhe work(or which application is made and I comply with lhe <br /> State Contractors Law 1827 RCW and 296.200 WAC. <br /> :��'�:�, ``��m-� /.�-/-c'�� <br /> iS'3gr ature of 0 a Contractor/Aul onzed gent ale �� <br />