Laserfiche WebLink
� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMI� SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROh� 8 AM TG14 PM <br />r�. I PARCEL TAX I.D. # <br />SITE ADDRESS ,L�� L j.� � l <br />t`�ler _� r�� � l�L'ti'� 13i'�IY'C.�L'�o <br />LEGA� 1.0T NO. BLOCK TRACT OR SUBDIVISION % <br />/"�Y�I�JlI.J �J � ✓'`n^�` <br />TENANTNAME <br />C,Lv�Ft.irrnF_ ��c, <br />CONTR. LICENSE # <br />BwF cL+q <br />USE OF BUILDING <br />r �,�v. f— i- � C <br />ICONTACTFOI <br />C-. I (�<.-+ <br />AUUIICJ�I <br />� i 1� zz o,� S! . Jw �' I <br />t� I:'r` <br />rz-i�� <br />Pjf�'�Z Cic <br />PHONE yGX> � ��15'��jSL. <br />Ulil4r nvn� <br />�'na�,�1c¢Sc+��� ��Blii� kz��-'77i-,i3`1 <br />/ HEAT SOURGE CONTRACT PRICE OF WOFK <br />,-�� <br />�Icclric _Gas_Othcr �' �(�, �1.�C.! <br />WORK UESCRIPTION <br />..�� � r.vti � �'� i�.,1'-- 7".. �\�` i'1J.iC,_, 575T1r.�✓t'�. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilcl <br />Bathtub <br />Lavatory (wasli basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Glolhes washcr <br />Water healer <br />Sink (servicelbar/moplelc.) <br />�ackfiow preveMer <br />Urinal <br />Drinking Fountain <br />—I Floor drain <br />Grease trap <br />Rool drains <br />Olher __ <br />I hereby ceritity that I FY <br />ordinaces governing� J6 <br />�o give authoriry IOMoI� <br />consiruction: ?�i� � am <br />State Contract}irs(�aw <br />, / l . <br />N0. I TYPE OF FIXTURE OR ITEM <br />NC — air handling units <br />_ Forced air syslems <br />_ Gas piping <br />W a�cr healcr <br />Gas tireplace <br />Gas renge <br />Clothes dryer <br />Rangc hood <br />Ezhausttan <br />Heat Fump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodstove <br />R. OlhBf �iP�'+"T '_ 1��� fZ�.; ��rL�:t�•� v��. <br />CIN OF EVERETT LOCAL SALES TAI( CO�E IS 3105 <br />e read and examined lhis applicalion and know the same to be true and correct. All provisiuns ol laws and <br />type o��vork will be complied with whether specilied herein or not. The granting of a permit does not presume <br />: or canc,el the provision o ar�y other state or local law regulating construction or the performance of <br />u�lforizRd by the owner ot ro erty to perfonn the work for which application is made and I comply with Ihe <br />3'27 GW and 29.6.23Q' � <br />/ � �� �` . �l �2(, �'i. <br />' �IraclodAulhorized Ac�eM Dale L <br />� .� <br />