Laserfiche WebLink
P-01 <br />Nov-15-10 10:31A t .._.__..__ __.... . .. ._.._—. <br />, . . ..._.i ... . ... I <br />PERMIT APPLICATION � <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR S7REET, EVcRETT, WA 98201 <br />425-257-8810 - FAX 425-25'7-8857 - www.everettwa ory <br />ApPLICATIONS ARE ACCEPTE� FROM 8 AM TO 4 PM '� ,r� S.- /(� _ <br />SITE ADDRESS PARCEL TAX I.D. # PER IT� <br />3r L s�v /�'1 /O//-D3i <br />,�o�s� S/. 1'.- --- .._ _..._�--._ _ _ <br />L[GA�� l0T NU. �LOGK TRAC70R SUBpIVI510N ri <br />UESG.I <br />. ... ._.. ..._.._ <br />OWNER � � � � AOURESS-� CITY2IP PHONE <br />f�rv� � iE 3p/.S 7/J �1 S�Gi _,�`vo� 9�'��' 3 yz s'- y2 �_-0853 <br />��»..__ _ <br />TENAN NAME I CONTACT FOI2 PERMIT PHONE <br />E-MAII. <br />CONT/RA�CTOOR. ..._.....'-/-�— ���ADDR�� .�t�,�/ . ... lZIP ��PHOA��.!� <br />�y /�7H Ayi/ J4 /i1' � %Pv[/� ,,- �- ,���� cLL 'isr'rz/ i7"� L�/Z .> ' Z.7 i `2- ��' / <br />CbNTR. LICENSE N s, � v�1�� L�v���f�- �7�Z0 � <br />f1 ""'7 <br />—__—__' ._' ,... .. .. ... .. <br />USE oF BUILOING NEl�T SOURCE CONTRnGT PRICE OF WORK <br />�� <br />�� C �'�Electric ,_ Gas _ Other �� 2� �� <br />-J-.. . ..._.... ---- --. ...._--- -- -_..._.._. <br />Y�ORK DESCRIPTIO <br />.C�Yc.�`� �InI/al����q•� S�j�/'t <br />"�- PLUMBING � <br />NO. <br />TYPE OF Flx"i URE OR ITEM <br />_ ..._ . . .------`- <br />TOilel <br />C�alhfUb <br />l.av2toiy (w851�i Lasiu) <br />:,h0'�vnr <br />ICilchen siriP. R dispo::,il <br />nishwasher <br />�.lulhes w�+sher <br />VJater he;iler <br />Sink (.OrviC6lbadiliup/elc.) <br />kinr,kflnw prOvt.nle� <br />Ufin31 <br />I>rinkin� Ibuntain <br />FIUur dtain <br />Cro�Se lra{� <br />Ruu( druim: <br />plher ___...._.. <br />MECHANICAL <br />NO. I -- TYPE OF FIXTl1NE OR I7EM <br />� A/C - alr handling unils <br />FofceJ 3ir systems <br />Gas pipin; <br />W ater healer <br />Gas tireplace <br />Gas ranpe <br />Clolhes dryer <br />_ Ranye hood <br />� Exhaustfan <br />Z Noat pump <br />_ Unit healer <br />� Boiler <br />Refrigeraliun <br />Woodstovo <br />_� Oihor , __ <br />CIiY OF EVERETT LOGAL SALES YAX CODE IS 3105 <br />I fier'rby cniilify lhal I have reaA .ind r.xamineU this applir.�lion �nd Ienow lho same to Ue Ifue and correcl All provisions Uf I:+ws and <br />orAinar.r..s �overning Ihis lyVe of work will bo rnmplied wilh whelher specifiod her0ln o� not. The granlin,y uf a permit Aoes not preswne <br />�q prva a�dhpriry tu v�uPa�e or canr.ul �hr. provi,ion ot any ulher stale or Inc:il law rogulaUng constr�cUun ur tho pertorm2nce ot <br />r,r,nstiuttion. Thal 1 aai �uthorizr.A hy thr. owne� of Ihis pruperty lo �r,rform lho work tor which applicatinr. is m2d0 and I cumply wiLh Um <br />$t�;e CmiU2c s Lnx' 1,y RI:W �nd 706.2J0 WAC. <br />� ��%�1�� -. - // I�-/ <br />�iyn�W t: nl Uwnnr%(.:nn`tiai.loi/Aulhurizuci Ar��ant L1010 <br />