Laserfiche WebLink
� PERMIT APPLICATION � i <br /> I CITY OF EVERETT PERMIT SERVICES I <br /> I 3200 CEDAR STREET, GVFHETT, WA 99201 <br /> � 4'15-257-8870 - FN(425-757-8857-www.everettwa.org <br /> I _ APFLIGA71pNS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> � SITE ADDRESS PARCEL TAX I.D.k � PE�MIT# a� <br /> '1_4'L6 BAK�fl AVE G043�t154401900 _ L�/( /��, � � � <br /> LCGAL LOi NO, BLOGK iRACT -L-� <br /> [7FEG i _—� �_ <br /> �..___� <br /> ; UWNF.it A- U-�85 Ci7vrtlV � �NUNE -. <br /> i CHRISTOPI IFR C(�NNER same as cite addre.^.c ever 98205 425-737-56fi7 � <br /> ' TENANTNGML f.pNTACiFORPERMIi VMONE ---- ��� <br /> � _ _ Naido Khan/Cyndal Millhollin 360-945-2787 �I <br /> � <br /> CONTNAf:TOR ��/CSCC <br /> i ��� ADDRf55 cinnir PHONE I <br /> 2800 Thorndyke SEATTLE 000-39ti-4r,63 i <br /> ICON7R.lICENSE� WASHIES9710B = � <br /> i iSE oF BUILDING I M�AT SOURCe CUNTRACT PRICF OF WORK <br /> I fCSldelltl3� I _ p�„��� _ I <br /> -. - - c � G�s Other $637�.0� <br /> I WORK DESCRIPTIUN ---�- I <br /> I INSTALL 60K GAS FURNAC[ <br /> I PWMOINO MECHANICAL - � <br /> IN0. IYPE OF PIXI UItE OR ITFM NV. I TYPE Of fl%iURE OR ITf M I <br /> .___ pouei _ ! ArC-au handlmg unRs - � <br /> � athtun + 1=c�eed air systems �� <br /> _� Lxvatury(wash has�m Gas piF�inp i <br /> _ 3nu��.c� Watenc�A!x� <br /> I _ Ki�chr.n smk&tlispesat _ Ga,firapiace <br /> � Dishu�a;her � <br /> ...— _ Gas rangN I <br /> , _ G�otnccH;�en�:r Gomesaryer <br /> � __ Laun�7r,ytray ---- Rangehoed � <br /> _._ Smq(sen��celbonmop��tc ) <br /> , . _ _ Har.knnw prnv�,�n.� _ Exhnust fan ,� <br /> I I..al pump <br /> � ___ Urinnl � LInA�eatrf I <br /> __ Drinkiny Fountnin _ gp�l�,� I <br /> ___� Fleartlr�in R����y���.e^ <br /> Grrase Vap Wootlstcve I <br /> _...� Roof dran�s p�ner <br /> _ Othcr-- - - <br /> ---- <br /> '� __, ___ _ ___ Giit UF tVEHEiI L.00AL 3ALG5 7AJf CO�E IS�f05 � <br /> I hereby centity that i have reatl and exam�npy th�s�pplirat�un ana kn�w tr,e eome to br,true and corer,t Fli prov�<�one ot lawy and i <br /> o�dmaur^pnvnrn,��� m�c ty��M u,��io�„ii bo enmpLud wqh whcihci spec�Fed hereln or nvt The yia�ni�,y yl y permtt Aoec not preSumC ' <br /> to give autro•ity iJ v�olMe or cancel ine provis'.on o�any oi'1er state or IOWI law regulatdig eonsiruC(�on or .pedumt3nCC of I <br /> construcaon. 7 hat I om auir,��ized by the oHn�i a}Ih�s prn��erty lo pedorm the work lor wh�cn aVphcatinn Is rnade antl I compiy vnth the <br /> Stnte Contractors l av�t�27 RCW and 79fi 70f)WGC � � <br /> � �_ �� ��• �'� ��� ,_ �i <br /> Signatwe of Own onvectunquthorize�Agen1�� i pa� I <br /> �`� <br />