Laserfiche WebLink
� PE�MIT APPLICATIO <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SRE ADDRESS PARCEL TAIC I.D.1 PERMI7 M <br /> 9G� f'4G(FIG ,4V�.NUE 3OT.�lO� - 2- G►�3-OGL�� $Otlo�-0o1 <br /> �on �or No. e�xK rnncr <br /> DESC. <br /> OWNER MDRESS aP PHONE Fj - <br /> t�lt�lJG� $.�l�ft$r't' M�pIC.AI. G�µT�?}¢, �IrofaeGI�IGAVEyP.0.t7dC Iafo'7, EY�fzET7' ?Lrv <br /> TENAHTNAME COMACTNAME PMONB <br /> �}-4E EYER�"tTGLIf.lIG I b1e�NH H�LUE. Z5�J•O�lfofo f�tf'. 231� <br /> COHiRACTOR �GIP'L'(j��Y-Gpl.� ADDRESS }?O.�X I I-I� aP CONTR.LICEIqE 1 <br /> SNoHoM�SH ,VtIA . �J82°�I KIRTLGA2"121zF <br /> PHONE 7,fP0• SCOS' �jI-I�7 <br /> PROPOSED USE OF BUILqNO Building Mechankel Additbn HEAT SOURCE <br /> �H�iPft'AL� PERMR Combinatlon R�.[ Plumbing WORK Alteretbn dechic <br /> _� � ����a�!G,,, TYPE Demolitlon U Sign TYPE Naw �Osa <br /> -� • - - Sprinkler RepslrRrlaint dMr <br /> CONTRACT PRICE OF WORK e�KfC/�� 9�^ � QD CRV OF EVERETT LOCAL RALEB TAX CODE 18�106 <br /> WORK DESCRIP710N <br /> 'TENAN'f ' IMf'RfN�N�E-(�CJ' 1S7K �+4L GLINIG C�r fc�l �2.PT.) oN <br /> -11-1�.` �'� �Loc7iz . <br /> PLUMBING ME HANICAL <br /> NO. TYPE OP flXTURE OR ITEM N0. TYPE OF RXTURE OR ITEM <br /> WATEH CL7SET _ A/C-14n1ANDLINQ UNITS <br /> BATHTUB _ fOFiCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) HFA.T PUMP <br /> _ SHOWER _ Urt;�HEATERS <br /> KITCHEN SINK&DISPOSAL _ C�.OTHES DRYER <br /> DISHWASHEF _ RANOE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ MEfAL FIREPUCE/STOVE <br /> _ URINAL � FIREPIACE INSERT <br /> DRINKIN(i FOUNTAIN _ QAS FIREPLACE <br /> FlOOR ORAIN _ OAS HANQE <br /> _ BACKFLOW PREVENTER __ OAS PIPINl3 <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTh1ER <br /> I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNINCi THIS TYPE OF WORK WILL BE COMPIIED WITH NMETHER SPECIF�F,D HEREIA OR <br /> NOT. THE�RAN71N6 OF A PERMIT DOES NOT PRESUME TO QIVE AUTFiORITY TO VIOLATE OH CANCEL THE PROVISION OF ANY 07HER <br /> STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TMAT I AM AUl}K)RIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH MPLICATION IS MADE AND I CAMPLV WITM iHE STATE <br /> CONTRnC�—bV�/ 27 RC�00 WAC. <br /> �z• w a <br /> igneture o v d ontra or/ u dzed gent eb �/ <br /> �z <br />