Laserfiche WebLink
rERMIT APPLICAI �ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810– FAX 425-257-8857 –www.everettwa.org <br /> APPLICATIONS Ai2E ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT P.CCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# P RMIT# <br /> S'�S" .Si: .� �. 3 /Z9oS3oo �fGoc� � ` )' = � '� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. ��� <br /> OWNER ADDRE55 CITY2IP PHONE <br /> /\ ¢� /� l�zeP-� LL C �/i �q( �s/o ��-�, S%�23� 3Ga-3y�/-�F6o5� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> � �-�., ��v �Z p -/y,� � <br /> CONT¢R/CT�� � pLLC nDDRESS CITYIZIP PHONE <br /> �� Cltiv�-c <br /> i\ G. <br /> CON R. LICENSE# <br /> �ARY.c�� � iZ </,� �/0���9�� ,_� 9fr�� 3Cc,���- ���y <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S� _ _Eleclric �Gas_Other �� Qp O <br /> WORKDE CRIPTION ��L��'f�J/VG G'/QOGlA/p ORK� <br /> //�-� ' / ou�y (��'uv.�``"`°'�C;O.�t/CiP£Tf SLi�,(j�l.d /NSy[HTiaifl <br /> \ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTl1RE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub �-Forced-eir�ystems <br /> Lavatory{wash-basin) �_ -6es-pipiag <br /> Shower _�-WateFheaEer <br /> L_ Kitchen sink 8 disposal i--Ge�replace <br /> L= Dishwasher -Gassange- <br /> ,�-Cloihes wastrer �-�o�h��'� <br /> Laundry tray -Rer�ge hood <br /> Sink (service/bar/mop/etc.) xhaust fen <br /> �-Backflowprevertter Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> = Floordrairr _ Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETi LOCAL SALES SAX COOE IS 3105 <br /> I hereby ceritify that I have read and exam?ned lhis application and know the same to be true and correct All provisions of laws and <br /> ordinaces governing this type of work�Nill be complied wilh whether specified herein or noL The grenting of a permit does not presume <br /> to give authority to violate or cancel the crovision of any other state or local law regulaGng construction or the performance of <br /> construction. That I am authorized b; :he owner of this propeny to perform the work for which application is m2de and I comply with ihe <br /> State Contr rs Law 1827 RCly,�n 296.200 WAC. ' <br /> �_C�1C l/� —' :2 -�S–nS <br /> Signature of OwnerlCo�itrectonAuthorized Agent Date <br /> a , <br />�1+_a_:=_`.:. _..�_.. -- . . ��y� .a-._-. --.`.-11F.�'7P.'Y8C'- � <br /> _` -_- -__________.-'__�-..._._.._..-_- _-_.__._- _ __ " .�.y:� <br />