Laserfiche WebLink
Dec. 29. 2011 4:OlAM �0. 2416 P. 2 <br /> ( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE77,WA 98201 <br /> 425•257-8810—FAX 425•257-8857—www.evere[1wa.org <br /> APPLICATIONS ARE ACCEPTED FHOM e AM TO 4 PM <br /> SITE ADDRESS PARCEL TAR I.D.A PERAIIT# <br /> 2 I u I a I i �J B �lereil' 2- O�O <br /> LEGAL LOTNO. �LOCK TRACTORSUBDIVBION/ <br /> DESC. <br /> OWNER 93 CI Y21P PMON <br /> �e� Wa�soh 3i2► T�la11alacve. 6��� �182o i y25 �ooq. 3z9lo <br /> TENANTNAMF CONTACTFOFIPERMI7 PNONE i <br /> I �et'�bi� 4eM52Sq b/n�olahe i <br /> "q, <br /> �� -h nq IhC. W�S Broadux�,�.� �lU^e,'ci' `i 8201 42�✓2$�1 '�� <br /> CONTR.LICENSC�,� T�On��� <br /> T1Gl'��Y –1 <br /> USE OR BUILDINO ` — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> IElectric V Qas_Other �.�-27$.10 �j <br /> WORK DESCRIPTION <br /> �1(��fJL Q{Q� '�Y naCR. � I n S'�U,l I C_O� ( <br /> u <br /> MECHANICAL <br /> NO. 7YpE OF FIXTURE OR ITEM N0. T'PE OF FIXTURE OR ITEM <br /> 7oilet A/C—air hanGiinp units <br /> Balhtub _ Forced eir Cyclams <br /> ,� La�atory(wash basin) _ Gas piping <br /> Shower Weter healer <br /> Kilchen s�nk 8 disposal _ Gas Ilreplace <br /> T Dishwasher Gas ranQe <br /> Clothes wesher Clothes dryer <br /> Waler heater Ranga hood <br /> Sink(servicelbarlmop/elc.) _ Exhaust lan <br /> eacktlow prevenler _ Heat pump <br /> � Urinal Unit heater <br /> Drinkinp Fountain Boiler <br /> Floordrain � Refrigpration <br /> _ Grease trap � Woodstove <br /> _ (iooldrains � Other��(& <br /> Olher <br /> CITV OF EVERETT LOCAL SALE9 TAX CODE 13 9105 <br /> I hereby coritify thal I ha�e read and examined lhis applicalion and know the same to be irue and correct. All provislons ol laws and <br /> ordinaces governinp Ihis type ol wo�k will ba complied wi�h whelher epeafietl herein or not.The grantinA of a permi�does not presume <br /> ro give authority to vlolate or cancel the provlsion of any other slete or local law regulating construction or thv pariormance ol <br /> conslruction.Tbal I am eWhorized by the owner ot this proparly lo psdorm ihe work for which applicalion is made and i comply wiih the <br /> State Contractors Law 18.27 RCW and 286200 WAC. <br /> 1�.10101�2 ��e3�t1v S �2�29 �I I 1 o, <br /> SignaNre Ownod onlra NAuthonzedripsnt Date ,y f.s <br /> � lY <br />