Laserfiche WebLink
P RMIT APPLICATI N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.� PERMR i '� <br /> Z306 GVE�mu� .¢✓t Y.OQ�o�z -oop� I <br /> i LEGA LOT NO. (iLOCK TRACT OR SUBDIVISIOH N I <br /> DESG I <br /> OWNFR ADDRESS CITYIZIP PMONE , <br /> k'cc ,�r3« ev.�. s ,— i <br /> TENANT NAME I CONTACT POR PERMIT PHONE �, <br /> E�NIAIL I <br /> /�-lJ�-J//JSC1�/ PLV/YJB/NG /NL Z-�I33U �ZYRf AyQCIN4JTIN <br /> CONTR.LICENSE N �-✓r NE q d,Z Z� 3�v- �'u 3• �YG Z <br /> �2oQ��P� z� z c y <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> T2 � /�C c�R Electric Gas Other ,�c /O� 7 v-U <br /> WORK DESCRIPTION <br /> /NST�4u F.�2t SP�L�^��cC-�2 SySTZ�h, i� NL�'Zv ?�2i/�CC-aZ <br /> Pc�z � r--t�ia ,3 <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling unils <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Water healer Range hood <br /> Sink(servicelbar/mop/etc.) Exhaust fan <br /> BackOow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain . Boiler <br /> Floor drain Refrigeralion <br /> Grease Irap Woodstove <br /> Roof drains Olher <br /> Olhar <br /> � .C/�ie�NK t L'TZ /�"977 S <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I hereby ceriti(y lhal I have read and examined this application and know lhe same to 6e true and correct. All provisions of laws and <br />� ordinaces goveming this type ol work will be cumplied with whether speci(ied herein or not.The granling of a permil dces not presume <br /> lo give aulhority to violale or cancel the provision ol any other state or local law regulating constiuction or the performance of <br /> conslruction.Thal I am auliiorized by lhe owner of Ihis property to pedortn the work(or which apphcahon is made and I comply wilh lhe <br /> Slale Contractors Law 27 RCW and 296.200 WAC. <br /> ,.11��� 2 /z r lv F <br /> �SignaWre o OwnedContraclodAuthonzed��gent Dale t/ <br /> rL <br />