Laserfiche WebLink
• <br /> irafirofterr <br /> PEMIT APPLICATIOi 4CITY OF EVERETT PERMIT SERVICES <br /> 32C0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> all <br /> SITE ADDRESS PARCEL TAX I.D. * PERMIT I <br /> 132( �o(,BY A✓f__ XDaG4 —OD Z <br /> LEGAL LOT NO. BLOCK I TRACT <br /> . CESC.Ir <br /> OWNER ACORESS 72P PHONE <br /> firtouiDfurtt tutu.r- ntsDlco.. -TR. 114 PAciFit- 4it 1,U£etTT , wW ' Z.°; <br /> TENANT NAME CONTACT NAME PHONE <br /> 5nMi- � 43*Vy YriNct4 ‘oNs7'Ma; 34.0 -7i4-3i.oc <br /> COr.rRACTCR ACORESS ZIP CONTR.UCENSE <br /> • <br /> PINMONy a t°N STty c no As 343(. AIR I,*PC- PR,./i <br /> PHONE 3£u./N44*04, 1-44 98724 DlnotogC066KA <br /> 31,o 7344-3400 <br /> PROPOSED LSE CF BUILCING 0 Bulletin() Mechanical Acaroon HEAT SOURCE <br /> PERMIT J Ccmbrnaticn Pluming WORK ` AlleraICn n E!ec: c <br /> ,v cp I c Am_ S PACLS TYPE Demolition ) Sign TYPE CDj New [s/ Gas <br /> Spnnkler Reaar/Manl. Other <br /> CONTRACT PRICE CF WORK 5$ad -t I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK CESCRIP71ON r£NRr/r /,sJv(-.s✓LMyvr l ell La N'r•nl/c./•C- ✓P0'401.4>i.$ <br /> . Q,,�0 <br /> PLUMBING ��! IG�I�'1 c& MECHANICAL <br /> NO. TYPE OF FIXTURE OR rTE.'A ,, 0 (.Oc!` NO. TYPE OF FIXTURE CR ITEM <br /> 17 WATER CLOSET _ A/C-A/HANDLING UNITS <br /> BATHTUB \I\ - ,ry _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) Q`s- '( ' _ HEAT PUMP <br /> I SHOWER I — UNIT HEATERS / �/) <br /> KITCHEN SINKS DISPOSAL CLOTHES DRYER ))>1 (l/ <br /> - DISHWASHER _ RANGE HOOD 44G <br /> LAUNDRY TRAY o:J v�rf. WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACESTOVE <br /> _ URINAL FIREPLACE INSERT A )70r�j <br /> DRINKING FOUNTAIN _— GAS FIREPLACE 7 G <br /> - FLOOR OPAIN _ GAS RANGE <br /> _ BACKFLCW PREVENTER _I GAS PIPING <br /> 8 SINK(SERVICEBAR/MCP'ETC.) —._ EXHAUST FAN <br /> I OTHER GI-INIc f/MK _ OTHER_ _ <br /> I &toe S/NK 21 Nu►thvi 4.?r7R 7(itro,^(Ai vNir'' <br /> ZO I'nLPItA•c. GIIS nortt75 / <br /> ., I <br /> I HERESY CERITIFY THAT I HAVE READ AND EXAMINED T"IS APPUCATICN AND KNOW THE SAME TO BE TRUe AND CORRECT ALL <br /> PROVISIONS CF LAWS AND ORICINACES GOVERNING THIS TYPE CF WCRK'MLL BE CCMPUEO WITH WHETHER SPECIFIED HERE'.N CR <br /> NOT. THE GRANTING CF A PERMIT CCES NOT PRE,;GME rC GIVE AUTHORITY TO VICLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE CR LCCAL _AW REGULATING CONSTRUCTION CR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> CwNEP CF THIS PRCPERTY TO PEPFCPM THc WCRK FOR WI tICt;APPUCAT1CN,S MADE AND I COMPLY WITH THE STATE - <br /> - <br /> CCNTRACTCRS LAW 1 2 CN ANC 296?CO WAC. r------- <br /> Slgnatura wnerrCcnrrctor,A mon.ea Agen; Cato / i T 4 <br />