Laserfiche WebLink
��RMIT APPLICATt )�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEQAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 <br /> SITE AD RESS PARCEL TAX I.D.# PERMI7 x <br /> c� I �oll b� 2 �s� � 2 mi, d� � a�ia -oo3 <br /> LEGA LOT N0. BLOCK TRACT�I� �I <br /> DESC. I <br /> OWNER ADDRESS ZIP PHONE <br /> �rar� I,v��ran Church ��I t�ll Dr q82o�, (`tZ513s3 -►SsZ <br /> �T Mob��t I CONTACTNAMET� r' ,y. PHONE <br /> NANT NAME � S r- r�e� <br /> Iq$m-� N fK P�wu N $oihellHkqBUU 2�G'� �h�� 5�. Fverr�f N'h 98Zd� (`f251Z�1-21�(�Q� <br /> CONTRACTOR AODRESS ZIP CONTR.LICENSE M <br /> PHONE ��� <br /> PROPOSEDUSEC� 9UILDING Building Mechanical 4ddition HEATSOURCE <br /> PERMIT � Combination � Plumbing WORK Al�era�ion � Eiectric <br /> TYPE Demolilion U Sign 1YPE New Gas <br /> Sprinkler RopaidMaint. Gther <br /> CONTRACT PRICE OF WOfl �J O UD CITY OF EVEREIT LOCAL SALES TAX COOE IS 3705 <br /> WORK�ESCRIPTION `h�FI�A'fi'pt� o� F�$ P�jv�pmrnt In qn e1viP�nrKt c�nPc�a C/rv C�rcrett pad <br /> nnd �fdaY ftnce and `Ih� r{plar�mrnt o� o�n ex�sfin9 Z� S Waa� U�,h� po�t <br /> wt� A b3 '-D" WbDd �fil�t� �pu►r clW i'�Ilular nntenn�s , S u � <br /> PLUMBING NlECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FlXTURE OR REM <br /> WATER CLOSET _ A/C—A/HANDLING UNITS <br /> BATHTUB _ FORCED AIFi SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSA� _ CLOTHES DRYER <br /> i = DISHWASHER = AANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> � URINAL _ FIREPLACE INSERT <br /> I _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> � FLOOR DRAIN _ GAS FiANCE <br /> � BACKFLOW PREVENTER _ GAS PIPiNG <br /> � _ SINK (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER._ _ OTHER <br /> �' I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WHETHER S?ECIFIED HEREIN OR <br /> ' NOT. THE GRANTINr,OF A PERMIT DOES NOT PfiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 7HE PROVISION OF ANY OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I PM AUTHORIZED BY THE <br /> ' OWNER OF THIS PROPERTY TO PERFORh1 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �. CONTRACTORS LAW 18.27 FCW AND 296200 WAC. �I <br /> � Sign u ofOwner/ ontr,cod `lhenzedAgent ��a�� �IL <br /> � ' � <br />