Laserfiche WebLink
• • ,/ <br /> 6—ca.r Pc)(�' /t . <br /> PERMIT APPLICATION g.z5� 25 /67275-- <br /> CITY yr-EVERETT PERMIT SERVICES <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 <br /> SITE ADDRESS $oZ 0 PARCEL TAX I.D.# PERMIT# <br /> ?(12 -8g0 A r) n g o c SCS o 1 o 3 -a a 7 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> ONiJ A ..• Ay LAI) /9 7 . 231 " S c i3oSAPlI <br /> � '12s= l 8s' 5-8415 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I77_o 4200 7-672 Av✓Z, c 020., •1/23 -`i6 37 <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> A./6 6- yL 5"= S-.'8y <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ,,� '`,!"�✓ ,_— /,e7-4 /£ Electric _Gas Other 9, 900 <br /> WORK DESCRIPTION 9 9 52-4/7i4 C 4" /roe eve-4v /E141 <br /> ; 7 /444, ,i.",)0 G A0 IS 77/as 2?54101//1 <br /> as y /4 20 /1 N'40 . fg /X4-®'. 777TH 2-. S SID 3 41,,Ff', No 1-0" r Ili 6 2rusq 1.4}7/6~1, <br /> A /6 H75 or✓4-y,1 A/o w47-4-72, ND s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction.That I authorized b the owner of this property to perform the work for which application is made and I comply with the <br /> Contractors 18. 7 RC d 296.200 WAC. <br /> a/A/0 7 <br /> Signature of wner/Contr /Autho -. Agent Date <br />