Laserfiche WebLink
P�tRMIT APPLICATI(�N <br /> CITY OF 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 m _�_�� <br /> fy <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT• <br /> ZHI}? HEW�TT /�Vt �59.3�09 �20C`� (`�OCj-G'��-{ <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N � A C� � <br /> DESC. Z C�I yD SWAL�,,�`I!S 2.1 i-� <br /> OWNER ADDRESS cinrzia q���NONE <br /> Si C� LvNp t-�-C Z�ZO 1-1ew��i ^uE e�,c�tT�lt zeb-4q9»455� <br /> � � CONTACT FOR PERMIT PMONE �{'j�j�8�I �Z.s9 �/ <br /> TENANTNAME ��� )C!�'1 �IIG �r�� <br /> 6R�FFIr�SCQoSSf►��CW��E�Y,�-�-� MAX JENSEr1 e�N�Gt4FFi�+SWir+EA/bL N1 <br /> n,�,Az <,�.asFr� f 8oZ 131 ST 17iL rlE 11�1LE STC✓Cl+�i� 982� �+Z Sr�— <br /> CONTR.LICENSE# $� • <br /> TtNh.+� A�N�2�2c� !�S corc�Ytr�o2 Z;�f� <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclric Gas Olher � �5 O� <br /> uJ�n►Eviy �-t�tsT�i+G fLeow� �- — — <br /> WORK DESCRIPTION <br /> T�►�o av-r Ao� cow�� ��A►�T ah�N►2aov�, .t,.,o ,�� �.Lryt <br /> �X �t i �� 2� �o0 2 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> � Toilel _ A/C—air handling units <br /> Balhtub _ Forced air syslems <br /> _j_ Lavatory(wash basin) _ Gas piping <br /> Shower _ Waler healer <br /> Kilchen sink&disposal _ Gas(ireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clolhes dryer <br /> Water heater Range hood <br /> �_ Sink(service/badmop/etc.) � Exhaust fan <br /> � Backflow preventer _ Heat pump <br /> Urioal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Re(rigeration <br /> Grease trap _ Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhat I have read and examined this application and know the same to be true and correct. All provisions oi laws and <br /> ordinaces governing lhis type of work will be complied with whether specified herein or not.The granting of a permit dces not presume <br /> lo give authority to violale or cancel the provision of any other slate or local law regulaling consWcdon or the perfortnance of <br /> construclion.Thal I am aulhorized by the owner of this property to peAorm the work for which application is made and I comply with the <br /> Stale Contraclors Law 18.27 RCW and 296200 WAC. <br /> /�t F.� l/ �--�-- 9��`t�° y <br /> Signature oi OwnedContrector/Authorized Agent �ale �/ <br /> I°Z <br />