Laserfiche WebLink
r . <br /> PERMIT APPLI�:ATION <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C/2��/ C���{' <br /> SITE ADDRESS PARCEL TAX I.D.It pf32M1T M <br /> 2� �r�ve �e5�' _ <br /> LEGFL LOTNO. BLOCH TRACT <br /> DESC. <br /> OWNER ADDRE55 CITY2IP PHONE <br /> ��� �,-� �, r�o 2.3�I t�e �J ��.�«. W/1 9�2Q; (�f2s� zsy-2�72 _ <br /> TENANT NAME CONTACT FOR PERMIT,/ � PI�NE — <br /> �i�Nd-��J ��'a /�'_ P ��� /�'/ ��24t�J (�ZS%��k!-3317 <br /> �aN�c�� �Ycc.��,Cy, i,Uc �'��ll/ l�J. �gli.c}��Iwr'•S jrz���c G:�- q110Y7 <br /> CONTh.LICENSE N �Ch��^L 7 v JLJ"1 � —O <br /> �� E- <br /> USE OF BUIIDING HEAT SOURCE CONT AC PRICE OF WORK <br /> _Electric _Gas_Other � �` ��. 1� <br /> WORK DE3CRIPTION �-- <br /> .� ,5;.��.�,-,�,� �.� r�-�J�HoPa J(�, �F �3 a�Ys o � <br /> {��-w-'� ,?r}c1��,Jc� ; y- yZk9�k 192 � G-3G�6��191� 3 �3y�9�k 9�. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. NPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> BathNb Forced air systems <br /> Lavatory(vrash basin) Gas piping <br /> Shower Wamr heater <br /> Kitchon sink S disposal Gas firaplace <br /> Dishvrashar Gas range <br /> Clothes washer Clotlias dryer <br /> Laundry tray Range hood <br /> Sink(sc+rvicelbarlmop/etc.) Exhaust fan <br /> Back9ow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Ffoor drain Refigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CIN OF EVEREIT LOCAL SALES TA%CODE IS 3106 <br /> I hereby ceritify that I have re,d and examined this applicaUon and know lhe same to be true and cortect All provisions of laws and <br /> ordinaces goveming this type of vrork vnll be complied with vAiether spedfied herein or not The granting of a permit does not presume <br /> to givo authority to violate or pncel the provision of any olhor stata or lopl law regulating construction or the performance of <br /> consUudion.That I am authorized by the ovmer of�his property to perform tha work for which application is made and I comply with tlie <br /> SGte-Conlractore�aw1827RC�an '196.200WAC. n <br /> t ] � / <br /> / �,..,.r� � / ����r <br /> $Ign ure f wner Contract IA onzed Aganl D te <br />