Laserfiche WebLink
-- � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257•8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM �� ���J� 7D <br /> SITE ADDRESS PARCEL TA%I.D.!! PERMIT# <br /> � <br /> 3�03o v land avc. � . � �'�- !. <br /> LEGA LOTNO. BLOCK TFiACTORSUBDIVISIONM y <br /> �ESG �� <br /> OWNER ADURESS CITY2IP PFiONE . u�[ (� <br /> o��.y� t��Lcs j��,�t7` .3/�t3b urlanaC �.v�e. u-�t7` G�ia.`�Y�Q3 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> � Ta.+--/a {�.c.Ic,c.-L7- <br /> GLa�� /�e s /��.cc_.L*Y-�� <br /> CONTRACTOR ADDRESS GTY21P PHONE � <br /> � % <br /> CONTR.LICENSE N � -�G�J'- --' -- <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Elec�nc Gas_Olher j S�C[", °`�' I <br /> WORK DESCRIPTION <br /> � i <br /> ' �/„ . _ z�� �.,t;�. .,�: .� �- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OH fTEM NO. TYPE OF FlXTUHE OR ITEM <br /> / Toilet ... A/C–airhandlingunits <br /> Balhtu6 _._ Porcedairsyslems <br /> � Lavatory(wash basin) __ Gas piping <br /> _(_ Showei ___ Watarhealer <br /> Ki�chen sink 8 disposal Gas lireplace <br /> Dishwasher Gas range <br /> Clo�hes washer Clolhes dryor <br /> Waler heater Range hood <br /> Sink(service/bar/mop/etc.) _� Ezhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain __ Boiler <br /> F�oor drain RMrigeration <br /> Grease irap _ Woodstove <br /> Rool drains _. Other_ <br /> Other <br /> CITV OF EVERETT LOCAL SALES TA%COOE IS 3105 I <br /> I hereby ceritity that I have read and examined lhis application and know the same to be lrue and correct. All provisions ol laws and <br /> ordinaces goveming�his rype ol work vdll be complied with whether specilied hemin or not The gran�ing ol a permit does no�presume <br /> to give aulhonty to violate or cancel the pmvision of aoy other state or local law regulatlng consWction or ine performance of <br /> construction.That I am authorized by Ihe owner ol Ihis propehy to pedorm ihe work br which application is made and I comply vrith the <br /> State Contractors Law 1827 RCW and 296.200 WAC. <br /> �� /�� h 'G�'0� <br /> Signature ol dConVactor/Au�honzed Agen� Date <br /> I <br /> � _ . ---- � --- -- - -� - --- -- - -�--�-- -�--- - --------- <br />