Laserfiche WebLink
� � _ <br /> _..._ __- --- _ ;. . _ . —_ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT.WA 98201 <br /> 425-7_57-8$10- FAX 425•257-8857 -www everethva org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM _ ,�L —�� I� _ , <br /> --- --- <br /> ---- <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# I <br /> c ` ��cc�e�- � �J ` I`�% h "�j SOL I.�I <�n� -�� '! <br /> I `7;� i Z3��, <br /> �LL-GAiI LO�tJO. BLOCK TRACT OR SUBDIVISION q I <br /> ' �ESC —.--- II <br /> - �-- --� —"—"" ADORESS --- � CITV/ZIP PHONE <br /> OWNER <br /> � / `� f , cr <br /> ���v �C) 1 ���Yl�r'! - ----�C�O Z-�!c� S�• LJPCtI� 20� _ `f2: - lL�' I� <br /> TENANT NAId[ CONfTACT FOR PERMR PHONE :IL���Jj -� JSS�7 <br /> �YI I �•J{ S E�MAILO�+V�>��n5l�.�j' �.�t C <br /> ___ _—'—__ � <br /> _ -' ' '� <br /> � � CUN7RACTOR — -.. . .-_.. ._._.. ... .� �AOURESS CITY/"11—P-R1i6TJE i;�Tyaimti: ,L�:q <br /> i i; <br /> (��l� ; Sc�,,,5;� �.,�i.',��A,!nc . I�I1.� nn�r�,\ynl'�,e Ea�.,N4�� �-12S-S� f - 755G ! <br /> CONTR. LIC[NSE�� 9�z�� � <br /> �/lY 1 ��iC�� � (��---- _ <br /> � USE OF BUILDING H[AT SOURCE CONTRACT PRICE OF WORK ,'I <br /> ' � �l`1573" � <br /> . �� S —Elecfric __Gas_Other — <br /> � . _ . .f. ___ \ -_� __—. (; —�-- r �i <br /> , WORKDESCRIPTION � Cn;ic , C�l' i,>..nc�S-Y.'� r� � 1'll'U 5��� �,:�,c� Y:��-1 ,-�} cJ1� �.t-.�l� �7h •;�-� <br /> I It .k�(�fY, � Li`�-,(-a-��+� � �-i...^c�r � f-».^�, I <br /> i <br /> I ���S x'; "'� 'Z.C�� _ — i <br /> ----- PLUMBING MECHANIGAL � <br /> � <br /> I NO. TYPE OF FIXTURE OR ITE�d NO. I TYPE OF FIXTURE OR ITE�d - � <br /> , --��- Toilcl --- -�---- -- NIC -2ir handling unils '�, <br /> '� � inthtub __ Porced air systems �.� <br />� ' Lavatory(���as�i Uasin) _ Gtis pipmg <br /> � — YJater heate� ' <br /> Snov:ei — <br /> � Knchen s�nk °d�sposai _ Gas freplace ��. <br /> -��-- Gasrange ' <br /> _�_ UI511`.'id5�12f <br /> i Cln�hes�•nsher I �, Clothes Uryer � <br /> -,-� P,an e hood <br /> � VJatei hcaler .� 9 � <br /> Sink (seivir,e/hadmopleic) f:xhaust fan � <br /> ..- 3ar.k(loe�praventci _ hlcat pump <br /> Unnal .__ Unilhealer � <br /> � p,m'aing Founlain __ Goilcr I �, <br /> . . . - Finoi drun _ Retrigeration � �� <br /> Gr�ase trap _ Nloodslove I <br /> - - - Roof dra�ns __ Olher _ � <br /> - ---- Other __ —�- ----- 'I <br /> _ ..._____. . _ _ � <br /> --- ------------ .. I <br /> CIN OF EVERETT LOCAL SALES TAX COD[IS 3105 I <br /> -- � <br /> I hereby certify thal I have read and esanuned thls applic:+ti�n and know thc same lo be l«w 2nd co«ecl ldl pmvlsions of laws and I <br /> uidin�uices qoveming ihis type ot:•�ork e�iil I;e complied w.ilh erhelhe� specifed herain or not The 9r,nling of a pe«nit does not presume i <br /> i !0 9ive authoruy to violai�or canerd ihe provision of any o;her slate or local lav�regutating constmction or the perlormance of <br /> consVurtmn 1"hai I 2m authorized by the owner of this umpeny to perform Ihe��rorY.�ot�vhich apphcaUon is made and I comply vnth the <br /> ' Sta:e Conlra ior l.picr 1&2i RCNI and 296200VJAC. <br /> �_��, � � '� � ��Z�� �� <br /> � c=^_•-• __ — ------ <br /> Signatureioy. :q�edConlractoriAiilfonzetl Agent Date <br /> � � ��Z i <br /> �� <br />