Laserfiche WebLink
Ma, r, 22. 2016 3: 24PM No. 2319 P, 2 <br />�L���RI��L �E����° ,�PP�.1��►►T�ION <br />C[TY OF' EVERETT PERMIT SERVICES <br />3200 CEDAR STR��T, GVGRETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www,everettwa,org <br />��r'l`-1 i:i.Y�r't�''t���_ �r'�1��'�- -- <br />� <br />PROJECT ADDRESS <br />�.( t 5- � l <br />�! `' �t <br />.�\,�%1,i/..� �/w�';i"�4 �r`.�` � �. __ l �{i s,.`=� 41 'ti <� }`!`'� /;l. /i'�.�� � �'.,%�` � K-� �� / li:.�o�. C:.�,(�.'�� f �a � ! - <br />f <br />OWner ' Maii Address ' Clty 5tate/Zip I'hano <br />Tenanf <br />Mall hddress <br />G&S HFATING 3409 �VER�'rT AVE <br />Electrica! Contractar Mail Address <br />G55HTCS1-1939RK <br />5t�tv Lir,ense Number (requii'ed) <br />R�SIo�N1'IAL <br />Praposed Use of Buildinc� <br />Lily <br />EVERETT, WA 98201 <br />cl�y __......, <br />Sqt�are Footagta (If residential new consliuclion,'remocJal �r addiFion) <br />SfatelZip <br />425-2�2��}402 <br />$(H(H1LIN <br />F'iiaiic� <br />Fhone <br />_..__ �19685 -- _... <br />City of �v�r�tf Business License N��mt>er (requii'ed) <br />� �7� V��� <br />Contract i�rice of Woi'k <br />r�nwN w��nn�� a2s-2s2-�aa2 <br />CulllaCt Persol�/Cont�r.t Number/tmail <br />Nurl�beC of devlces (If Iqw volfage) <br />Y � `% �` �'• _ <br />�es�riptfon of Worl< to Bca Dnne: '� q '�; ��'!i ,., ;-_V �� ` 11 1� � �� `� � �� ( ( <br />4 � � �—�—=� � 1tl��a• _ _ti:� V\_ �( -�-�. <br />..._...._ �,�„�'il��`��.. �:�`fSi;',t�'���T.,�,'t�;� Gt� 'X ti�'�..�� j�� �� ;..���Y:f�-�.... - <br />' � �� � � � r ,, ..�: ,_. <br />. <br />�. =.=,r ' `�7:�J�..�E <br />.... . . �. . . �s. �'G ,� �� :� �(�.���_k � ��`:i�-�1 <br />C1TY OF EVERETT LaCAL SALES TAX CpDE ls 31D5 <br />1 fteleby ec��fify thaf I have reaU and exalnlna�! tltiS a�plir.atinn �nd kr�vw lhe sarne to Ue tr�tre aric! <br />rnrrect. �t ll pr�vlsions of laws ��nd ordinsnces �uveii�itl� lhis type oi wark will 6c completed <br />wi�eN�er spocitir,d hc�in ornul. The g���nting of a pr.�mit does nvt prest�nle to �ive authoriry fo <br />violate vr cancel (he plt�visions of any ofher slelE o�'loCal !�W ���i1l��ting r,or7siruction or the <br />perfoinlanco of r.nnstrucflon. ThN( I am autholiz.r.d by the owner uf this pt'opeity lo ps�fnrm t17n <br />worlc /or whiCli dppllC�SLon is rnada and I comply w!(!� ll�e SfE1te Cofltl7rfors Law 18.27 RCW anci <br />296.200 WAC, � ' <br />�V �-- ���_'1. I � I ��� <br />Ht. VIS�I� ��>R/%U fJ <br />r'te � <br />���y�a <br />PF. RM IT# <br />��(���'���� <br />