Laserfiche WebLink
SITE ADDRESS <br />61 �2 3 £d�:[..�� <br />LEGA LOT NO. <br />oesc. Z � 3 <br />OWNER <br />C'NR+� T�UUn1� <br />TENANTNAME <br />C N�ru LG o n� � <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVtRETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK <br />�n <br />IPARCEL TAX I.D. N <br />00392`/—�o3-ooz- <br />TRACT <br />CONTACTNAME <br />�c L Y.�D <br />PERMIT M 027 <br />� n��� —� <br />(�is)7y3 -9/sG <br />PHONE <br />s) so�-3sy3 <br />CONTRACTOR �J I�� ���i ��'�:IS�S f fJ C, AODRESS ZIP CONTR. LICENSE M <br />;Tio GG���• /✓F. ���!f-Y���a6� �8=�a tJ�oEe�'�azr�E <br />PHONE �3Go)L53-ZS(�/ <br />PROPOSED USE OF BUILDING <br />,D�y Stbf-h6�/l��S��F�•r <br />�'j Building DMechanical <br />PERMIT D Com6ination U Plumbing <br />TYPE Demolilion U Sign <br />Sprinkler <br />CONTHACT PRICE OF NlORK �� � UO3 . �� 9 <br />WORK DESCRIPTION <br />��CiFI.'�oF� 1���K�O .�k�l �%c�JFLk' /�dki�' <br />NO. I TYPE OF FIXTIiAE OR ITEM <br />WATER CLOSET <br />BA"I HTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & UISPOSAL <br />DISHI,NASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOfl DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />Addition I HEATSOURCE <br />WORK B Alleration � Electric <br />7'YPE ❑ New Gas <br />U RepaidMaint. Olher <br />CITY OF EVEPETT LOCAL SALES TAX COOE IS 3705 <br />NO. I TYPE OF PIXTURE OR ITEM <br />A/C — A/HANGLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOAK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAI�AW REGULATING CONSTRUCTION OR 7HE PERFORMANCE GF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS AOPERTY TO PERFORM THE WORK FOR NHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS i� 1827 RCW AND 296.200 WAC. <br />1 •. � <br />_ �'ZOV� <br />Date �L <br />