Laserfiche WebLink
miti►1Y-20-02 NON 12: 18 PM EVEr " PERMIT SERVICES FAX NO. 425(7 8857 P. 03 <br /> 47" PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS 13Z1 cam 1`4e.• PARCEL TAX I.D.I PERMIT I <br /> FA Men-- cis 1 goadco-c,aa <br /> LEGAL LOT NO. r BLOCK TRACT <br /> DESC " 51✓E Fn <br /> OWNER ADDRESS ZIP PHONE <br /> AVID{=t l,C JE kAt- 132\ COOtcb1 ll'JW. 2(2,1 +is' 2101-2020 <br /> TENANT NAME I CONTACT NAME PU-- Z�vJ�- PHONE Zao ,)/3S'o. <br /> s1 E b4, OW NEP -t-A,,i1Y3 W , . <br /> CONTRACTOR ADDRESS ZIP CONTR. ICENSE <br /> k_terl f-Cu.E tL. I►4c.. -PcDJI ,ciltq 514040WNk5HIWOr 161i .11k1.11_A212,' <br /> PHONE <br /> _ /AZ/ 51v8—311 S- <br /> PROPOSED USE OF BUILDING Building nical argil HEATS RCE <br /> fI ie„„--,. PERMIT Combination Plumbing WORK Aucrol.on EIttUc <br /> Wl ttStA TYPE OemOldiOn Sign TYPE Ncw Gas <br /> Sprinkler R•pa1UM3.nl. Olbor <br /> CONTRACT PRICE OF WORK A 3,q.v., (ate oO I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION ge.LMOLDEI_ -i"W-J -n � e., Or v4tNG, <br /> S iAC. UJ1t16 6 <br /> w VA,. W. l ksKil llErc" 1:N39.103 WA 5 't coN)D SS E j\i IY `c r-o'p <br /> UUTPWnc=._tA.15. W1g1`o SC W\u - et ki.cabritliliC C14s SI NGltr SA41 VNIT. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> - zF WATER CLOSET O NC-A/HANDLING UNITS <br /> 0 BATHTUO -• FORCED AIR SYSTEMS <br /> _� LAVATORY Y(WASH BASIN) O EAT PUMP <br /> IT HEATERS <br /> KI I IEN SINK A DISPOSAL 0 CL• ES DRYER <br /> 2, DIS` ASIICR O RANG- 000 <br /> O_ LAUN II'4Y TRAY 0 WATER . •TER <br /> O CLOCHE- ASHER 0 METAL FIR • •CE/STOVE <br /> O URINAL. 0 , FIREPLACE IN RT <br /> -i DRINKING F•. FAIN O. GAS FIREPLACE <br /> FLOUR DRAIN _in_ GAS RANGE <br /> UACKFLOW PREV . TrR 0 GAS PIPING <br /> _1 SINK(SERVICE/BA' •OP/ETC.) 75- EXHAUST FAN <br /> _. OTIICII_ er� L OTHER 3Ft 1T tF <br /> I HEREBY CERII WY,IIAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS ANI)ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH W1IETI IGR SPECIFIED HEREIN OR <br /> NOT, TIlC GRANTING OF A PERMI r DOGS NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Of ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION 1 I IAT I AM AUTHORIZED BY IRE <br /> OWNER OF TIIIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18II2'7 RCW AND 296 200 WAC <br /> SlgnAlwe—.—roe Ageni Data -- �_Y <br /> `ia <br />