Laserfiche WebLink
;nN-10-u� WFD 1?�59 PM EVER� PEhnIT SERVICES FAX N0. 425 2�9857 R 02 <br /> ��-�� PERM17 �PPLICATION <br /> ��� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAfl STf�EFT, EVERETT,INA 90201, A25-257-8810 <br /> � ^SITE AD�FESS PAqCEL TAX I.D.� PERMI K <br /> ��-� ���;.ke� R�E or� y- 3�,�1 `� `�`t-o��� 'mo�f'o l-asl <br /> '. �ECA� LOY NO. BLOCK 7RACT ' <br /> DESC� _ - <br /> OWNER ; ADDRESS PHONB �/1,� <br /> �i��J JAlf�l'-� S ' o� ��,o L� K-(�!_'_, A✓1� ��•1oI .3� I ' c�I`}'`'" <br /> � TENANT NAM11C I CONTACT NAM[ PMONE <br /> ��� CONTRACTOR c� AdORE58 CONTR.LICENSE� <br /> q c,-r�•�.J cJ R-r+E2 N+�►�K-f /37c'f i✓� � �'f- '��`�--3 �jc-�iucdy�5s P <br /> ; aHON�,�u��.2u- � ,k - _ J ��� � <br /> i c.,.t, <br /> PROPOSE�11SE OP tlU1LDIN0 (� 9uiitllny �'1Glechenlcal ��V HPJI�OURCe <br /> ' PERAIIT l� Cembination ❑ Plumbing WORK Ai�urainn �e�� <br /> � TYPfl U Demolilion � S19n TYPE New <br /> �) Sprinklcr RopeinMainL ��a� <br /> I O U � Clri OF EVERHTT LOCAL 6ALE8 TAX COD!IS N06 <br /> �� LONTRACT PFICL OF WORK � <br /> II WURK DESCRIPTION <br /> �S�(�Y� (G tfT ("Z � P4A � �c.�yl �nf"r c1� <br /> � -� ��c l.J��+?� ��PcT�� <br /> � M J�CHANICAL <br /> ' E'l.V �� <br /> i N0. TYPE OF FIXTl1RE OR REM NO. TYPfi OF FUCTURE Ofl ITEM <br /> I <br /> � WAi6RCLOSET � NC-NHANOUNOUNITS <br /> � �ATIITU❑ FORCEDAIRSY9TEM9 <br /> � _ LAVP.?OF'/(WASH BA61N) UN 7 H A'TER9 <br /> SHOWErI — <br /> I KITCHEN SiNK 6 UISFUSAL _ CLOTHE6 DRYER <br /> DiSHwASH�n RANGE HOOD <br /> � _ I.JWNDFY TRAV ' � WATER HEA7ER <br /> _,,,_ CLOTh�ES WASNER _ METAL FIflEPLACE/STOVE � <br /> ' ^ UFIPIAL � FINEPLACEINSER7 <br /> ' � OF�NKP.i;FOiJN1AW __ GASFIREPLOCE <br /> � FLOOR URAitJ __ GAS RAN6E <br /> BACKF�GW FREVENTt:R _,_ GAS PIPING <br /> _ Si�K(SERVICE��AR�MOPiETC) �., ExHAUST FAN <br /> ' _, OTIIER__... ...----- _ OTHEP <br /> i I hENr.B/L'Ci?iTIFY TMRT 1 H/�JE FFFG PNO Ei(AIdWEO THIS��PPLi:ATION ANU KNOW THE:.AMC TO flC•TRUE AND CORRECT. Al4 <br /> � PFOJIS�GNS UF LAW i ANL ORIDINACES GOVEHWNG T/IIS T1PE OF WOHK WILL DE COMPLIED WITH WHETMER 6PEqFlED HEPEIN OR <br /> � NG7 TH�UHA!:TIN�:8F A PERUIi JUES NOT PRE3l1ME TJ G:VE hUTHORIN 70 VI04ATE OR CANCEL THE PROVIGION OF ANY OTHER <br /> , OJ�TiHG�`TR�SPIlOfE1T'I i01PERFOFMTFEWORKFGFIWHICM PPLICATIONFSMA�EANDICOMP YTWITHTNE6TATE09YTHE <br /> � CGNTRl�CTGFS UV! 16 N�`N AND?5fi 20�)W�C. <br /> �i ,' . L—� ��___�'�✓� � . <br /> i , � a <br /> i Sign�hn¢� rvntd�cnitnctodAuthcriiuJ pcnt <br /> i L�� <br /> � ...-' <br /> 3 <br />