Laserfiche WebLink
Nov-29- 10 09: 13A - F, 01 <br /> I <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 08201 <br /> 425-257-8810- FAX 425-21,7-8857•- www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM Q/�) <br /> SITE ADDRESS PARCEL TAX 1.13,M I PERMITff <br /> -y� ' 7`54- - 1YY�101L -0 <br /> LFLOT NO. OCR TRACTOR 9le0rVISIONsCD51 _ <br /> HL <br /> OWNER t 9 CITYI (—PHOIIf— <br /> �_/__/l yo_'dr- J�/3-4,may/ <br /> TENANT NAMEI CONTACT FOR PERMIT PMONE <br /> COTiY'RiiCYOR , - — 55-- y- qj�p E MAIL E_ - <br /> �y/nArr^ ✓e �*S eo <br /> LICE <br /> CONTR. N^ 1J,/d N S•Sy Nz�r �i' W 3�)�l <br /> USE O BUILDING --� _ HEAT SOURCEONTRACT PRICE OF WORK <br /> r'S faectric _,,, Gas Olhor SS�d <br /> WORK DESCRIPTION eft <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR 17EM <br /> _ Inilot NC- air handling units <br /> Dstittub Forcnd air systems <br /> Lavatory(wash UaseQ Gas Piping <br /> _ Shower _ Water hooter <br /> _ Kitchen sink S drelxlenl Gas fireplace <br /> Dishwasher Gus rungo <br /> _ Clothes washer Clothes dryor <br /> Water heater Renglo hood <br /> _ Sink(sarvicolbar/rnoplotC.) Exhaust fen <br /> _ Hncktlow prnvenlcr I Heal pump <br /> Urinal Unit healer <br /> _ Drinking Fountain Boller <br /> Fluur drain T, Refrigeration <br /> - Grnnso IrAp Woodslove <br /> _ Root drains Other—__ <br /> Othnr <br /> CITY OF EVERETT LOCAL.SALEG TAX CODE 13 1105 <br /> I horoby ronlify that r have rnnd rind examined this application arid knew the some to be trun and corroet. All provisions of laws and <br /> nrdinnons govnrning this typo of work will be complied with whether specified herein or nut.The granting of a permit does riot presume <br /> to give authority to violate ui cancel the provision of any otter stale ur lucul law regulating construction or the performance of <br /> conslrucliun.That I am uuthurited by the owner of this pmpnrty to perform the work for which appliealiuU is made and I comply with the <br /> Slate Cuntr*µWvs I�e 1q.-21 RCW and 29U.200 WAC. <br /> Signature ul wrier C Imo dAulhon2ed Agent <br />