Laserfiche WebLink
10/291Z010 11:29 BEL-RED HEATMIG i AR COND. (FAX)425�935354 P.001 J001 <br /> � ` . <br /> PERMIT APPLICATIOPi <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR BTREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 P.M TO 4 PM /� �- 0��'1�-I v <br /> SITE ADDRESS PARCEL TAX I.D.N PERMR# <br /> 7zo� a �,�'�rc 5E ooaa�k00000���o: I /'�'J�ni�� - � <br /> —._- - . .. _ __ <br /> LEGA LOTNO. � - --BCOCK"� TRACTOR:lIBDIVISION! "-'- <br /> DESC. <br /> OWNE ADDRESS PHONE LIZS` <br /> �nd„e.�,,�� 1rJoo��� �-1 '?Zo"1 UI�`�Pi��SE ��-Q.N R8w3 231 - 6�.� <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E�IAIL <br /> C <br /> ��K,� 10-733 4��` PLW �Ic,�IC�`Eeo48275 �ZS-�?3-5353 <br /> �������aK <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ���y�,��p� �W��. I ,�Electric _Gas_Olher —I J��� <br /> WORK DESCRIPTION / <br /> I--�e,v,�.t� � �c�-�n.�. rn� �. �s�W�-ev�� / �ep��.�.,�.�--� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR ITEM ' N0. TYPE OF Fl%TURE OR ITEM <br /> Toilet A/C—air handlinp units <br /> Bathtub = Forcedairsyslems <br /> _ Lavatory(wash basln) _ Gas piping <br /> Shower _ Weter heeler <br /> Kilchen sink 8 disposal _ Oas fireplaca <br /> Dishwasher _ Gae renpe <br /> Clothes washer Cbthes dryer <br /> Water healer Rang9 hood <br /> _ Sink(service/bar/mop/etc.) Exhaust len <br /> Backilow prevenler = Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Relrigerelion <br /> Grease trap _, Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby cerilily Ihal�have read end examined this applEcetion end know Ihe same to be true and corteG. All provislona of laws and <br /> ordinaces vemin0 this rype of work wlll be complied with whether specified herein or not.The pranting ol a permll daea not preaume <br /> to give au nty to violate ncel 1he provision of any other stata ar local Iaw repulatinp construction or the peAormance ot <br /> constr f .That I am au on d by tha owner of this proparty to pe o the work for which application is mada and I comply with ths <br /> S e f� actors Law 18. 7 and 296.200 WAC. <br /> /0 36 !a <br /> Si na ur ef wner/ ntr tor A e gent , ate <br />