Laserfiche WebLink
PERMIT APPLICATIOf� <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FRG.A 8 AM TO 4 PM � ,., �� .-0 9 <br /> SITE ADDRESS PARCEL TAX I.D.# PE MIT# � <br /> / 0 � ef e 11 e� A✓e oo�/�s� �/ ,'o i�oo � -/Z <br /> LEGA LGT N0. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> O\YNER AD�RESS CITY2IP PHONE <br /> _Pro�i�dCnC� Med�cp � Cen�C'r PU dok /l`�� E✓er �' WR `��06 <br /> TENANT NAME CONTAC7 FOR PERMIT PHONE d O 6 ^ �9 I '�i� <br /> �U� �GrC Tower Jcol1 /"({'�"OW E-MAIL SM�q�4We��^hon;on,GO/ <br /> CONTqACTOR ADDRE55 CITY/ZIP PH E <br /> CONTR.LCENSE tt yE2�AC��cSl3 J <br /> I <br /> � USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> NoSP�fn � �' E�edric _Gas X ou�er aq ��� ��c.� <br /> WORK DESCRIPTION <br /> /1'liChGn� Lu� l7�NG Zr7Si� ��G�10/1 <br /> PLUMBING MECHANICAL <br /> I NO. TYPE OF FIl(TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel � A�C—airhandlingunils <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Watcr heater <br /> i Kitchen sink 8 disposal Gas lireplace <br /> I Dishwasher Gas range <br /> I Clothes washer Clothes dryer <br /> Water heater Rangc hood <br /> Sink(service/badmopletc.) �_ Exhausl fan <br /> _ Backflow prevenler Heat pump <br /> __ Urinal � Uni�hea�er <br /> Drinking Founlain Boilcr <br /> _ Floordrain Relriger2lion <br /> ___ Grease Irap Woodstove <br /> _ Rooldreins (� Other� a� U,r ��t5 _. <br /> __ Other—. b� J�Q�r.,fn.� 4.� <br /> — - lah�p�}c. �,vo,_Ua,�— <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS 3105 <br /> I hereby cerilily Ihat I havc read and examined Ihis application and know Ihe same to be true and correct. All provisions of laws and <br /> ordinaces governing ihis type of work will be complied with whe�her specified herein or noL The graming oi a permit does nol presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or Ihe perlormance ol <br />, conslruction. Thal I am authorized by Ihe own?r of Ihis property to peAorm Ihe work for which application is made and I comply wilh the <br /> State Contr clors Law 1827 RCW and 296.200 WAC. <br /> �7��1 7'- 09- 09 <br /> gnaWre of OwneNConiractor/Aulhorized Ageni Date <br /> `�� <br />