Laserfiche WebLink
P�riMIT APPLICATIO�� <br /> � CITY OF EVERETT PERMIT SERVICES <br /> ��"' 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 ' <br /> SITE ADDRESS PARCEL TAX I.D.Y P MIT N <br /> T Lo 2328�1-Z -aS-o�ro 07 — <br /> IEGA � LOTNO. BIOCK TRACT � <br /> DESC. <br /> � OWNER ADDRESS ZIP PHONE a{ t�'�� <br /> �t2J7� 17R.a{�71ES /99oa /Hd� A..- NE LJn�ai.VuiuF� u7A 98Q�Z <br /> TENANT NAME ✓/ _ ..p YS �I N(� S P��Y°'f I CONTACT NAME� ���,�� PHONE <br /> �e_Ri-r <br /> � ���M�v�otos (,.buc,� � (H2S��/8�-SZ� <br /> COIRRACTOR ADDRESS 21P CONTR.LICENSE M <br /> ��ctA Ca�s�rrwca�o.� �49oO /�{�/� A�.� N.c. Woov�Hviu.e S'e�ct/4S /`l8 <br /> PHONE �p7Z � <br /> S - Z.Ob <br /> PROPOSED USE OF BUILDING I Building I") MechaniCal AddNion MEAT SOURCE <br /> PERMIT Combination K Plumbing WORK Alteralion [� Elecuicl`� <br /> TYPE OBmOlitiOn LJ Sign TVPE �New u Caas <br /> Sprinkler U RepeidMaint. U aner <br /> CONTMCT PR10E OF WORK ll �v+ S9� C�TY OF EVERETT LOCAL SALES TAX CODE 18 9105 <br /> 96 <br /> WORK DESCRIPTION <br /> • �taMalE /��4,CK �OU S� oF Z�'� /-'-r.�oo� Wf�t?�WME. <br /> � /�7�0 '�e»+isi� Wqt.t,� & �1t9K W�M./-- <br /> � RDD 3 Ntw I�vE iN 'f�oci � 1 Nwv vNA.I T.�ot <br /> PLUMBING N/� MECHANICAL ,V <br /> NO. TYPE OF FlXTURE OR ITEM NO. TYPE OF FlXTURE OR REM <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HEAT'PUMP <br /> � SHOWER _ UNIT HEATERS <br /> . KITCHEN SINK 8 DISPOSAI _ CLOTHES DRYER <br /> i _ DISHWASHER _ RANGE HOOD <br /> IAUNDRYTRAY WATER HEATER <br /> ; _ CLOTHES WASHER METALFIREPLACE/STOVE <br /> ' URINAL FIFEPLACE INSERT <br /> � OHINKING FOUNTAIN . _ QAS FlHEPLACE <br /> � FLOOR DRAIPi _ GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> �. SINK(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> OTHEP OTHER <br /> i , <br /> i � <br /> ' 1 HEREBV CERITIFY THAT 1 MAVE READ AND E%AMINED TN�S APPIICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> . PROVISIONS OF L4WS AND ORIDINACES GOVERNING THIS TVPE OF WORK WIIL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> � NOT. THE 3RANTING OF A PEPMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOUITE OR CANCEL TME PROVISIJN OF ANV OTHER <br /> STATE�.�r7 LOCAL LAW REGUUITING CONBTRUCTION OH THE PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHOFIZED BY Th1E <br /> OWNE:I OF THIS PROP N TO PERFOHM THE WORK�OR WMICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> '�. CONTRACTORS LAW 1 7 R AND 296.200 WAC. <br /> I <br /> Sig t o Own d on�actod ha gent a � <br /> L <br />