Laserfiche WebLink
2 <br /> { � o �C�C�DV <br /> PERMIT APPLICATION ( � C.� (� <br /> CITY OF EVERETT PERMIT SERVICES � . IUJ <br /> 3200 CEDAR STREET, EVERETf,WA 98201 �`'��� � `� 2������ <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org ............ ......... .... <br /> CITY OF EVERETT <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM En9�`�nerinq�Pilhit� GpR,; e. <br /> SITE ADDRESS � PARCEL TAX I.D.# I pERMIT# <br /> � ��5� � �tif���` 9�w o� � � i oioU I I��o � - Oz'� <br /> LEGA 107N0. BLOCK 7AACTOHSUBDIYISIONA ' <br /> DESC. <br /> OWNER ADDflESS CITY2IP yP �NE <br /> �' l/� 5ca cc. —�0�05 /o'�`' 0� 5� �H� �f 96�' /�s'�)a�ii ��s� <br /> TENANT AME CONTACTFORPEqMIT PHON �� �'Jy-�5�� <br /> NR I ��Tlynn (,(l-e.h5� e.xa�o�l.�csLo��j�tci�Ya/(d .(lc� <br /> Cw��i.s� fl+�� �(.�G.�� �l11`.��Jr' Dp/D(� �/�ll[tfdS 4�G�•YI �IP PHONE G��� <br /> CONiH.LICENSE pW�JNI.�G/� 7 SQ O� /'�i/Le��cce� �,�JQ I�D�D S (978'-�5f�� <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRIC[OF WORK <br /> Eledric '�as_Olher G9y � <br /> WOIiK DESCRIPTI� � / � �� ,/, /. _ / �-2 • <br /> �� C �,. Gdtb/ �,Qeu!< <br /> . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTUflE OR ITEM NO. TYPE OF Fl%TURE OR ITEM <br /> Toilel AIC-air handiing units <br /> Bathtub Forced airsystems <br /> Lavatory(wash basin) as piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/elc.) [xhaust(an <br /> Backliow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Foun(ain Boiler <br /> Floor drain Refrigeralion <br /> Grease irap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVEHETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined ihis application and know ihe same to be true and correcL All provisions ot la�vs and <br /> ordinaces governing Ihis type ot work will he complied wilh whether specified herein or not.The granting ot a pertnil does n�t presume <br /> lo give aulhority!o violale or cancel the provision of any other state or local law regulaling inrutruction cr the perlartnance oi <br /> consiruclion.Tbat I am authorized by ihe owner ot ihis pmperty lo pedorm ihe xrork lor,+hich applic�,tion is made rnnd f comply with the <br /> State Conlractors Law 1827 RCW and 296200 WAC. <br /> �f �-6'Z <br /> Signature o( wn ntrac�o/ uthorized Agent Date <br />