Laserfiche WebLink
i .. <br /> �ERMIT A�PLICATIUN <br /> CITY OF EVERE PERMIT SERVICES <br /> 3200 CEDAR STRE I EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br /> SITE ADORESB � P/�IRCEL TAX LU.�! PERMIT N <br /> 1`�Ol IL ,DO�t celou M o� I -c3/ <br /> LEGA LOTNO.� � BLOCK TAACT <br /> DESC. <br /> R . I CITYfLIP ON6 uZS� <br /> �F ���,r L,P. l9yo� 4�r�w. �,�r,�a.PA �►�,°�3� c�o-9a4 a. <br /> 7ENANT NAMIE CONTACT FOR PERMIT MIONE <br /> ��.o�,� L, P � P�,,► �,�RVA� �tz� 3�a -a-t� <br /> eororRacrort y�Tp,�L,��C ancrtEss �-j og cmmv PHONE <br /> CON7R.LICENSEN �Im� S�T 2�'�Z��o�O� <br /> �A1'f12L'h: ��t�1� °18t�118�135i� <br /> USE OF BUILDING HE'AT SOURCE CONTRACT PRICE OF WORK <br /> �l.'{l�ih�t� �Electric Oas_Other I gr ('\(�a ,�r <br /> vv l <br /> WORK DE9CRIPTION <br /> V�I�TI�1 Co �1r.W GausTP.�tta'i `IM,u��riuFrvt,tt,�-� <br /> PL BING ECH NICAI <br /> NO. TYPE OR flXiLRE OR REM NO. 7YPE OP FIXTURE OR ITEM <br /> Toiiet AfC—eir handling units <br /> __ �m�b Forced atr systems <br /> _ Lavarory(wash basin) ,_ Gas piping <br /> _ Snower Watarneater <br /> _ Kitchen sink 8 dlspocal � Gas fircplaca <br /> _ Dlshwashcr Gas nng¢ <br /> _ Clothes washer Clofhes dryer <br /> _ Water heater � Ranpe hood <br /> _ Sink(servicelbadmop/etc.) _y,S,Q Exhaustfan <br /> ,_ BackAow preve�tor Heat pump <br /> _ Urinal � Unithe�ter <br /> _ Drink(ng Fountain � Boiler <br /> Floordroin �JQ Refrigeration <br /> _ Gnase trap W��p� <br /> Roof aralns _ pmer <br /> _ otner <br /> GITY OF NERETT LOCAL�qLE6 TA7(COpR IS J105 <br /> I heroby cerifify that I hev6 read and examinM lhis applicatlon end k�ow the same to be true and corrcct qll provielons of laws and <br /> ortlinaeea yov�ming tryis typC ot work wlil be camplletl with wheNer dpeeMod hercin vr not.The granting of a pertnit doee not presume <br /> to give autho' ro violate or qncel the provis�on of any oNer a4ite dr loeal law raguiatlnp conshuctlon or the pertortnance of <br /> construcHon et i am a 'zed by tha ownor of this propeMy to pdrfortn tha work for whieh applicatbn Is meda end I comply wltl�lhe <br /> Stale Cqn ors Law 1 CW and 2g6.200 WAC, <br /> SIpnB o ar on clor ut onze Ageni ` � q� <br /> � \ ��� <br /> �`°�o <br />