Laserfiche WebLink
PERMIT APPLiCATION <br /> CITY OF EVEREIT PERMIT SERJICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# P PAIT � <br /> `�o,:z y � ',i �?�c�c._ c. < �c � �iC�CC; Ic�c;r �� �US � i <br /> LEGA LOT N0. BLOCK T/q)ACT OR SUflDIVISION#�f � � (�;,°��;�i I�� <br /> DESC. I � I" r'(� �r � v'C �'�I- 1-cr"P�� � Gi�� S�IVP/ I-I� i_� = � <br /> OWNER ADDFESS CITY2IP PHONE <br /> I/ �i 'I <br /> � b : �r� k c- ��.{ t�C.--��� 6��.'i j���� ' { �� �c'J � 11J }�IGCC ����,,.' , �" f7 ,4E�av1 �-1 �j1�j�� j('. ,; <br /> TENANT NAME CONTACT FOfl PERMIT PHONE � ]5 ����� ��1�� <br /> i <br /> -Y . , .�:_ K�. ( v,�.� 1 c. iY i l; e.rneu� K� i�unE� I , r' v�_i , � .st <br /> � <br /> �_ . c•�>h�r�sFc�� t_��,,,,��� $b 1 Cu� ?�,C+'nr�i�k'zITr <br /> �i>.�v��; /1��. ��._ Iri, i „L� <br /> corira.ucer+sea � � t-li ���`���1� �C5�-37�-(.�1�3�1 <br /> l�� /-�,, [� i�7 1 O 1; <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> 1��=,� r � , ��. � I c.� _Eleciric K Gas_Other `(; `<�,J I��� �.�� <br /> WORK DESCRIPTION�,���1`��'�-. I � ��5 � 1 v C�JI CAf r_� <br /> .�� C��'� �> r-�i-(- ��.5 II✓l� io of[j � � r ,. ����G.c �_ <br /> � -� I_i ,-:Y� ,�� far��lc's �'r,,� t_,��-s�<'-i 11c1c• rc �� <br /> PLUMBING MECHANICAL <br /> NO. TVP[OF FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toilei IVC-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) �c Gas piping <br /> _ Shower �. Water heater <br /> Kitchen sink 8 disposal � Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> � Water heater Range hood <br /> Sink(service/banmopletc.) _ Exhaust fan <br /> Backllow preventer Heal pump <br /> Urinal Unii hcater <br /> Drinking Fountain Boiler <br /> Floor drain Relrigeration <br /> Greasc trap Woodstove <br /> Roo�drains Other <br /> Other <br /> I CITY OF EVERETT IOCAL SALES TA7C COOE IS 3105 I <br /> I hereby cerility that I have read and examined this application and know the same to be tme and correct All provisions of laws and <br /> ordinaces goveming�his type of work will be complied wilh whether specitied herein or nol.The granting ol a permil does no�presume <br /> to give authoriry lo violate or cancel Ihc provision of any other state or local law regulating construclion or ihe performance of <br /> consuuction.That I em authorized by the owner ol Ihis pmperty ro pedorm Ihe work(or which application is made and I comply with the <br /> Stafr Contractors L�w 18.27 RCW and 296.200 WAC. <br /> � i <br /> .., t'� /� � �� ��.�. �/� � �j <br /> SignaWrc ol wner/ConlracrodA�th dzed Agent Date <br /> I - - - -.. ._ . _ _ -- ----.—.._.. . . _ _ . . _- ---------- -----�--�-- — —�---- <br />