Laserfiche WebLink
i 8f i� <br /> { -�, - - <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> .'?00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—vwvw.everettwa.org <br /> ��j APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.• P MIT t <br /> --� ��:, �� �� �'0 2 G7a� ..� -.� <br /> LEG LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> !JQa� :J^C�[-: i SZ•�.�,.� �Lrh L:a� �C LLC/ y932`-'c`'/ )��Jt 5 ��1 J'�fIS :>�c :iiC S Z,�S <br /> TENANT IdAIAE <br /> CONTACT FOR PERMIT PMONE <br /> �'—��J���ns�� /'1u�1Nq}P�J �Jc�./•nP5 ! `T� y2S 7L:.�r. t�.a�7�1 � <br /> CONTRACTOR ADDRESS ciTvmay���7 PHONE'2� tJ� "y"'" <br /> !�I��r}I.wZ3'f� ��c�nc��•� ,T71�r^r llsiOlw'74� �Q�.,�jn <br /> CONTR.LICENSE i <br /> N �r.. THwHi.�ssr- �_ *�: �=1912��,� <br /> USE OF SUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ;_,_;�1 Q�,�.,,� I _Electric _Gas_Other '4 /o� ti�=' � V� _ <br /> WORK OESCRIPTIOpN ���-�, <br /> �Lr{ -}-�. �� 1 �_1\zt' �`-cf'`^^S 's�-vLv/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTLRE OR ITEM NO. TVPE OF FlXTURE OR ITEM <br /> Toilet _ A/C—air handling units <br /> Bathtub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> _ Sink(service/bar/mop/otc.) _ Ezhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Bailer <br /> Floor drain _ Refrigeradon <br /> Grease Vap _ Woodstove <br /> Roof drains _ Other <br /> Other — <br /> CIiY OF EVERETT LOCAL SALES TIU(CODE IS�105 <br /> I herehy ceritify that I have read and examined fhis application and krww the same to be We and cortect. NI provisions of laws and <br /> ordi�aces goveming this type of work will be complied with whether specified herein or not The granGng of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulatlng xnstruction or the perfortnence of <br /> consUudion.That I am authorized by the owner of this property to perfartn the work for which application is made and I comply with the <br /> State Co tredors Law .27 RCW and 296.200 WAC. <br /> c --� ,/ �3 � ' c' <br /> Sign re er ontract �Authonzed gent ate � IZ <br />