Laserfiche WebLink
, , �� c <br /> PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES -� 9��� <br /> 3200 CEDAR STREET, EVERETT,W��98201 S � <br /> 425-257-8810-FAX 425-257-8857-www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '' � �� <br /> SITE ADDRESS PARCEL TAI(I.D.M ' .�RMIT N�� <br /> i t,e��c c,�c� PKw�/ 280�1o2oa '1 osoo <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION A <br /> DESC. <br /> OWNER ADDRESS CITYInP PHONE <br /> I'ra��G�tit-�Ed NOldiay5 LLG za3�o zd" ,w� f� Be�ll� wA. 9�ozt <br /> TENANT NAME CONTACT FOR PERMIT P�NE ZOG�772�7SOL <br /> I►J-�'E�'1 I C�A�G�L ADf�"� E�NIAILL �NE,esnwFr,aEs ,Ce». <br /> � -T7r-75 <br /> ►3D/�`�hwE-6'F Fi,tE 6y/5{L�nS 'S3/5 S.lfL�`'S'f � f(S Tdk'w� (A, w� 9e'/G�' <br /> CONTR.LICENSE�F N��.f.k FS 9Z$Gi2 <br /> USE OF BUILDING I HEAT SOURCE ? I �ONTRACT PRICE�O�F WORK <br /> pFFr"cE, W�4Ch�uSE ' Electric _Gas_Olher • z�,Z�O• <br /> " M�u F,4c�F�v2t�+9 — <br /> WORKDESCRIPTION �Ff�ES �^� W�L`k��'F' <br /> f}c� TO EX(S�iw�^. 5/��[�N/��L�iC r.�(S�ra rO/G NGt.�) <br /> �j i���l�`� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FIX7URE OR ITEM <br /> Toilet _ AIC—air handling unils <br /> BalhWb Forced air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwacher _ Gasrange <br /> Clothes washer _ Clothes dryer <br /> Water heater Range hood <br /> Sink(servicelbadmopletc.) _ Exhaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal Unil heater <br /> _ Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap _ Woodstove <br /> Rooi drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby certify thal I have read and examined lhis application and know the same lo be true and correct. All provisions of laws and <br /> orclinances goveming this type of work wlll be complied with whether specified herein or not.The granling of a permit does nol presume <br /> lo give authority to violete or cancel the provision of any olher state or local law regulating construction or lhe perfortnance of <br /> construction.That I a aul lhe owner of lhis property to perform the work tor whfch application is made and I comply wilh the <br /> State Co re 1B 6.200 WAC. <br /> � �-/L-/O <br /> Signeture oi OvmeqContracrodA orized Agent Date � /Z <br /> � <br />