Laserfiche WebLink
� � <br /> PERMIT 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 8 AM TO 4 PM ��� '-0 7 <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT t <br /> o��S�3 O�K�'S Avc GG43q I GC SGI 90U � -�� <br /> LEGA T NO BLOCK TRACT OR SUBDIVISION• <br /> DESC. t� — 2i� ��,'�'_ n—c.;� <br /> S C <br /> LtoN� Ccu �3 aka� 0�4r<<<5 r►v�[ ��f�cfrr 1r�ul <br /> TENANTNAME CONTACTFORPERMR PNO1� <br /> L' NiJl�STiY k' iSrR�,/�nJ i I Dun.vz U. C�'-��c�r�..2A�fn,'E �L�-343-�r22 <br /> CONTRACTOR ADDRESS C'TY21P PHONE <br /> ��1A+�2 0 . «Il�a! %'c`.eD� -1 n1C �}fsd7 f0u1C f K �hl� f lll�f �� 5S 1C�l �{L S ^ 2S%-F/2L <br /> COKTR.LICENSE f � <br /> purta�c; L �vl k(?- <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WONK <br /> �4 STM-i�/i��.'i I _Electric �Gas_Olher "� �a U� 0 (JC) , (� d <br /> WORK DESCRIPTION <br /> T� — v�^4�;S � W o�h �,vS 2f S�euv� S - (��Otr1 � � s'rv.2f r�e �=r �v��2s� <br /> IJ�c��i >T�'d f P�20,� i �.J�nl��o.J S / A f�� i S /.v G l,✓��� 5 � (/�'.S ���i r< [ � �UL <br /> e.y.�S- / bt� ��f�ciFS Yti���+.��C ��� s7�r�c£ ��fPc�c4 4 krs���/h f} �� ��r�1G5 � <br /> CitilKC`/Z � Tf � kIS��.'_ Ec'n.' , c•c_ oa <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TVPE OF FIXTURE OR ITEM <br /> Toilet A/C—afr handling unit; <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(senice/barlmop/etc.) Exhaust fan <br /> Backllow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease irap _ Woodstove <br /> Roof drains Olhor <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAI(CODE IS 9105 <br /> I hereby ceritify thal I have read and examined this application and know ihe same to be irue and cortect. All provisians of laws and <br /> ordinaces goveming this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel ihe provision of any other state or local law regulating cansiruclion or the peAormance o( <br /> corSst on.That I�r+.authoraed by Ih owner ol ihis proFerty to peAorm ihe work for which application is made and I comply with the <br /> StatA C nt or aw�8.27 RCW and 96.200 WAC. '/ <br /> -' / 5" !� ' `� ' �/�(/ y I�Z <br /> Signa o ned onllactoi/Authonz Agent ate �� <br />