2515 59TH ST SW 2016-01-01 MF Import

06/21/2012 20' 14 00328 P. 001/002 PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810—FAX 425-257-8857—www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 2 SITE ADDRESS PARCEL TAX I.D.0 PERMIT 0 ds/ .i eII f -1A) M zo -oz LEGA LOT NO. BLOCK TRACT OR SUBDIVISION 0 OESC. OWNER ADDRESS CI /ZIP FII NEyy Iro -�AA19A it ii'MAMAI Q.5 TENANT NrJE CONTACT F RLPE�RMR PHONE _1 T_- EMAIL CONTRACTOR 1 'ID& (r-j CONTR.LICENSE 0 EYL4r S``Q USE OF BUILDING [[�� I(t HEAT SOURCE CONTRACT PRICE OF WORK gx"' _Electric Gas_Other WORK DESCRIPTION PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM ToiletC-air handling units J_ Bathtub j Forced air systems _ Lavatory (wash basin) _ Gas piping _ Shower _ Water healer _ Kitchen sink 8 disposal Gas fireplace _ Dishwasher Gas range _ Clothes washer _ Clothes dryer _ Water heater _ Range hood _ Sink(service/badmop/e1c.) Exhaust fan _ Backflow preventer Heat pump _ Urinal Unit heater Drinking Fountain Boiler — Ftoordraln Refrigeration _ Grease trap Woodslove Roof dralne Other. Other CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby cedtify that I have read and Vxaminod this application and know the same to be true and Wrrect. All provisions of laws and ordinates governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other stale or local law regulating construction or the performance of construction.T t I am authorized by the owner of this property to perform the work for which application Is made and I comply with the State Con L aw 18.27 RCW and 296.200 WAC. / Sig re o wnerl nlractod ul odzed Agent Data