Laserfiche WebLink
{ � ; <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES l� ' <br /> 3?00('EDAR STREET, EVERETT, WA 98207 ' ' <br /> 425-257-8810—FNC 425-257-8857—vrww.everetiwa.ory !-��� I <br /> r • <br /> APPLICATION3 ARE ACCEPTED FR017 8 AM 70 4 PM -DEflIT&CREDIT CARDS ARE NOT ACCEPTED <br /> _ t <br /> SITEADDRESS _���� � �AR ELTAXL0.q PERMIT# � <br /> �4ot M�+`t, c�/� �ati L�6 �Q�!�( /�O � _� ; <br /> DE$Q �OiN�I 8 OCK TRACT �O�L�'�D �Q �COZOD — i <br /> � <br /> OWN::R t qDDRE53 CINI7JP PHONE � <br /> , F��✓�c��s�r'c.P. ssio Mr�hbvs�r�. svr7�2oa, srWA��o G+ ?2iL j <br /> TENANT NAN[ CONTACT FOR PERM1IIT PHONE T <br /> FF sSY�Ms/r/'G.P.� 9El/�l.oyN�/►7' G•P. B�_4j�7 2/z3 _ � <br /> CONTRACTOR pDDRESS CIN2IP PHDNE I <br /> � <br /> CONTR.LICENSE R � <br /> i <br /> L -B OF BUILDINO HEAT SOURCE CONTRACT PRICE OF WORK j <br /> /k�1�Ei�+ ✓vjlA//1�('.f= I �EleWric _cas_oUmr I sT'1,��Q��D. BO 'f' I <br /> WORK DESCRIPTION ' <br /> /B-3 STc•a.Y�lJ1�7"ME/►7" �.vc.t�v1'65 _� � <br /> � <br /> �l� ��•t' - � <br /> � <br /> PLUMBING MECHANICAL i <br /> � <br /> NO. TVI'E OF FIXTURE OR IT[M11 N0. 7YPE OF FI%TURE OR IiEM <br /> Tollei • NC–air handling units I <br /> Bathlub• Porrad air syslems � <br /> Lavatory(wash basin) • Gas pping <br /> Shower ,'j�—(L Welerhealer• j <br /> � Kitchen sin<&disposal •;�'- ' _ Gas fireplace /% <br /> Oish�vasher• Gas 2nga � <br /> 2�(� Clotix�s washer• Clothes dryer• j <br /> Laundrylray � � Rangehood • <br /> _ Sink(serviceNsrlmop/eta) t�� Exhaust fan• i <br /> _ �ack8owprcNenter Heatpump ' <br /> _ Urinal ;' �2[i Unit hea • � + <br /> _ Drinkitxj Fountain Boiler ` <br /> _ FloMdrain , Ref' eration <br /> _ Grease Imp odstove ( <br /> ,Roof cratns � thar <br /> � Othor v <br /> -- i <br /> — _ _. — � <br /> . GIN OF EVEftETT LOCAL SALES TAI(COOE IS 3106 � <br /> I here6y coritify that i have rea�and ozaminod thi,appl'�cation and know lhe same lo Ee We and correct. All provuions of Imvs and <br /> ordinaces goveming lhis type of work will ho complied Nslh rihetF.er specified herein or not.The gren6ng of a pertnit does not presume <br /> to give aulhorily to violale or cancel Iho provision of any other state or local Imv regula'ing consWction or tha pedortnance ot <br /> construr,' !I mm�ulhonzed by Ihe owner of this property to perform lhe woik(or ahich application is made and 1 comply wllh the <br /> Stolr onhacto Lo a � 2f�6.200 WAC. <br /> r'/��Oh' <br /> Signa ure o onlraciodAut odzed Agent ate � <br /> f�/i�-M./tt�+�1 s .4-i�F <br />