Laserfiche WebLink
� -i�-o7 <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 /> �y� J ,�i)��—(JGZ� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM , ' <br /> SITE ADDRE55 PARCEL TAX I.D.# P RMIT# <br /> z000 'tro>:e�� seze<<, s,,erett, t��a 9ezoi 1�051�oozo�eoo �� '���— ��� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC <br /> OWNER AODRE55 CITY/ZIP PHONE I <br /> E�derett Community College, 2000 Tower Slreet, i?;eiett, wA ?B�ol <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Eveaett Cor..munity Colleae Lai'ty 2rice, Direc[or of Facilities 4�5.3AB.95:3 <br /> CONTRACTOR ADDRE55 CITYIZIP PHONE <br /> � tdorcencon 14719 tlE 29th Place, Bellevce 14A 90V0� d25.�59.G727 <br /> CONTR.LICENSEC F1AId0RC190NG Icn eiCel <br /> USE OF BUILCING HEAT SOURCE CONTRACT PRICE OF WORK ' <br /> I.rt S�udios, Claearoom5, and ;1,G�o,oUC � <br /> <'tatf s'cr��i- �' ic _Eledric Gas �� Other <br /> E�y/ ail rcam) — — <br /> WORK DESCRIPTION I <br /> „ . 1, Renov�Cion ot Glacicr Nall, and-ecvje- - � --� . - w- <br /> Wrldiug-8uildi++u, au approvcd by 5?iPi. OS-07.5 II <br /> PLUMBING MECHANICAL <br /> N0. NP[OF FIXTURE OR I7Eh1 N0. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C-air handling umis <br /> �athlub Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal Gas Greplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink�servicelbarlmopletc� [xhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> � Drinking Fountain _ Soiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EV[RETT LOCAL SALES TAX CO�E IS 3105 <br /> I hereAy ceritity that I have mad and ex-mined th�s application and kno�v the same lo be irue and correct. All provisions of laws and <br /> ordinaces governing this type ol�vork wdl be complied with�vhether specified herein or not The granting of a permA does not presume <br /> to yive authonty to violate or cancel the provisicn of any other state or local law regulating constru^.tion or the performance o( <br /> construction That I am authorized by the owner of this property to peA:rtn ihe work for�•hich appliwtion�s made and I comply with Ihe <br /> State Contractors Law 18 27 RGW and 29620D WAC. <br /> Signature ol Ow�neuComractodAuthorized Agent Date � �� <br /> ' -- ---- - ...-- --- --- — ----- <br /> -� <br />