Laserfiche WebLink
i — <br /> i.'I.J��' v?=inl <br /> �n71;.-�����f�, r,�� PERMIT l�PPLICATI�ON <br /> .r��G� C�TY OF EVERETT PERMIT SE�VIC�S <br /> - ;,I,J;}���ij•� 3200 CEDAR STREET, EVERETT, WA 92201 <br /> 425-257-8810-FAX 425-257-8857-www.everetriva.org <br /> 1 n�i.� APPUCATIONS ARE ACCEPTED FROrA 8 AM TO 4 PM '� —g—O6 <br /> SITE ADDRESS' (��'�- Iq7��V£5� PARCEL TAX I.D.S I PE�tM1T� <br /> �wGa, �ri�2� �v�,z�-rr� w�aazo �io3o� oQoiiza� /�Sv9- 2./ <br /> LEGAL LOTNO. BLOCK TRACT <br /> oesc. S�� �T�(�4U-I�D <br /> OWNER ADDRESS CITYILP PMONE <br /> RDE�f PI��G� MD 18fq IcoT+� PLSE kalER:t-cT,'W/� �1S2a8 �F�b.3l°I .7�al <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> 12o�f .� . 9Wc� titD I �o�.i 6nl�t� �{z5, �I5� . 53�3 <br /> CONTRACTOR , ADDRESS CITYZP PHONE <br /> CoNsra�lTlhl� �tt��. 1� 65yrj' N�' lQ�IST Y-��iMor2�/ 4a� .k�s."75a� <br /> CONTR.LICENSE/ Q�• ���� AT�b40 WP� �I�7� <br /> �oNSTaLq 82J5 <br /> USE OP BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> � (�u$�N�� Elednc _Gas_Olher //� 7�� — <br /> WORK DESCRIPTION � <br /> -t�N.9nrr lr�nPrtav. fio�. f, ����� �t�z, nn� . a��ic� , ir�ct�. iN-r. Prs�,Ti?ior�s, �ur�r, <br /> ?"I�15N43, .�WM�g(NG� �l.�t-Z'P--1�A�. Wl �1r�� b( LIGNTI�IG <br /> PLUMBING MECHANICAL <br /> NO. T1'PE OF FIXTURE OR ITEM NO. NPE OF FI%TI1RE OR ITEM <br /> Toilet _ A/C—airhandlingunits <br /> �_ Balhtub _ Forcedairsystems <br /> 5 Lavatory(wash basin) _ Gas piping <br /> � Shower _ Water heater <br /> � Kitchen sirik 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> �� Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Badcflow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Foun:ain _ Boiler <br /> � Floordrain _ Refrigeretion <br /> Grease trap _, Woodstove <br /> Roof drains Other <br />' Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 I <br /> I hereby ceritify that I have read and examined this application and know the same to be true and corred. All provisions of laws and <br /> ordinaces overning this lype of vrork w�lt be complied with whether specified herein or not.The granting of a pertnit dces not presume <br /> to give ai hority to violate or wncel the provision ot any other state or local law regulating construdion or the performance of <br /> constru n.That I am authorized by the owner of this property to pertortn the work for which application is made and t comply vnth the <br /> Stale raaors Law 1827 RCW and 296.200 WAC. <br /> Signa u of OwnedContractodAuthorized Ac�ent ate / <br /> 1 � <br /> =J �`� �' r (•'.r;,�;•�; lM�J lc� i <br /> , L' J.:-�,.,;_, i =,<-';�:._ �C <br /> _ �.: .} i <br />