Laserfiche WebLink
i -1G -c , <br /> PERPJIIT APPLICATI4N <br /> CITY OF EVERETT PERMIT SEI�VICES <br /> 37_00 CEDAR Sl'REET, EVERETT, WA 9f�201 <br /> 425-257-8810—FAX 425-257-BC57—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM Ql)�� <br /> SITE ADDRE55 PARCEL TAX I.D.� P {tMIT k <br /> � <br /> 2000 Tower SCa'eeC, EvcieC[, t7A 9820: 7�OS1�UO2J1800 ( �a J � � <br /> LEGAL LOTNO. 6LOCK TRACT <br /> DESC. <br /> OWNER A��RE55 CITY/ZIP PHONE <br /> HaeretL Community Colleae, ?OUO 'Cewer S[rceL, c•✓e:'etC, N'A 98201 <br /> TENANT NA�dE CONTACT FOft PERMIT PHONE <br /> Evei'e[C Community College Larry Price, Direc[oe of FaciliCie� az`-.3P8.?513 <br /> CONTRACTOR ADDRESS CIT"IZIP PHONE <br /> D1oi'Censon 14�79 ❑ii Z9Lh Place, Pellevue lii� ��OQ7 -025.259.6727 <br /> CONTR.LICENSE# IliJdOP.C•190NG lon c:tcl <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Art Studio�, Classroomo, and ;I,G��G,000 <br /> 5[att Eervices (copy/mail reom) _[IeClriC _Gas_� Other <br /> WORK DESCRIPTION - <br /> Ue�«clii-i�w-ol--f'i-le+wrf:-Nnll, Rencwn : _ . . _., .ni cons[ruction of a canopy at tlie _ <br /> we:ding Building,'a¢ .ppticved by �'F;PA OS-025 <br /> r' <br /> PLUMBING MECHANICAL <br /> NO. T'PE OF FI%TURE OR ITEM N0. NPE OF FIXTURE OR I7EM <br /> Toilet _ NC-air handhng units <br /> �athlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal _ Gas(ireplace <br /> Dishwasl��er _ Gas range <br /> Clothes washer _ Cbthes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/etc.) _ Exhaust fan <br /> �ackflow pmventer _ Heal pump <br /> Unna! Unit heater <br /> � Drinkina Fountain 6oiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher — <br /> CIN OF EVERETT LOCAL SALES TAx CODE IS J105 <br /> I hereby centity that I have read 2r.d examinad�his application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing Ihis type of work will be complied with whether speafied herein or not The graMing ol a pertnd does not presume <br /> to give authorny to violate or canwl Ihe provision of any olher state or local law regulaling conslruction or the pedormance of <br /> construdion. That I am aulhonzed by the owner of this proFerty to pedorm the work for which application is made and I camply wdh the <br /> State Contractors law 1827 RCV�'and 296.200 WAC <br /> SignaWre o1 OwnerlConlractodAu:honzed Agent Date � <br /> �2 � <br />