Laserfiche WebLink
03/15/2010 07:08 2067821303 OLSON ENERGY FaGE 02/02 <br /> � r. <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320o CEDAR STREET, EVERETT. WA 98201 <br /> 425•257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEP7E0 FROM 8 AM TO 4 PM <br /> SITE AOOREss PARCEL TAX I.D.N PERMITi1 <br /> ' � ,,QU�.�c� AvE �- I ` - I <br /> LEGPL LOTNO. AIOCK TRACT <br /> �ESC <br /> OWNER AD�R[SS CIIYZP PHONE y75JZ�_Jo�$1 <br /> �1/�U/G>G��/ K��-�.l /.�9� .�vc�-� f;vr- ��ic,�Eri- 9�z�. <br /> TC-NI1NT NAME CONTACt FOR PEFMIT PHONE <br /> N�1j <br /> CONTRACTOR � /J,� r�n�JL�/�7�J[;E� pDORGSS � � NW �j,rG�TY21P PNON[ <br /> / � 7 <br /> .�r"fGL_ Q•�/O ?� ` �7.G10/Co3�Z- 5�u� <br /> CONTR.I.ICENSE/1 /� ^��� „�I !''y •3Mr� <br /> (J�"I 7�r <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK � <br /> �NI�GE �..!I/'*�G.y _.E�aem� J[cas__ou,er �Z i'� I <br /> WORK UESCRIVTION <br /> 2���r-�� G� s f'����� <br /> PLUMBING MFCHANICAL � <br /> NO. T'P[OF FIXTUR[OR ITEM NO. 7YPE OF FIl(7'uRG OR ITEM <br /> Toilet NC—air handling units <br /> Bn:htub � Foroed�irsystams <br /> Lavntory(�xJsh L•asin) Gas pipinp <br /> Shower � W;�lerhaater <br /> _ Wlohen aink 8 disposal Gas fimpince i <br /> Dishw;�^,her + Gasrange <br /> Clothesayehnr � Ciothasdryor <br /> L.undry tny Rongo hood <br /> Smk(service/ber(mop/utc.) J Exhau�fan <br /> �acMlow p�ewn6cr Neat pump <br /> Urinal T Unit hoaler <br /> Dnnkinp Fountnln � Boller <br /> Floor drein Refrinora9on <br /> Gre�sc�rttp Wood�ove <br /> Rout drnin, Othcr <br /> Othur <br /> CI1Y OF EVERETT LOCAl5ALE5 TAX COOE IS S1D5 <br /> i Imro�y c�n�ily that I havu road and uxamir^�+hla app�ieation and knaw tlie 9amo t�6o hue and CarrcCk A11 pmvisions of laws a�d <br /> orcfinacos govominp this typo of vrork wdl be c �mpliod wlth whothor specified heretn or not.Tho grantlng of o permit dues not pmsume <br /> lo give aulhority to violaM o�canccl Ilie protisfon ol any othe�s�le or local IBw regulaCnp oonshuction or Mo pmformanCe of <br /> conctrutNon.Thot I am aWhorir.ed hy Wo ownur of iliis pmperty to pedortn tfm Hmrk hr whkh appliration is mnde and I cromply with tha <br /> SWtc Contnctor,Law,B.27 RCW�nd?.96.200 WAC. <br /> I � 3 <br /> � (��.� � // /o <br /> S�qnaNro ot OwncUCentra�iod�uthonzed nt �ato <br />