Laserfiche WebLink
_ <br /> I PtRMIT APPLICATIUN <br /> j CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> I SITE ADDRESS PARCEL TAX I.D.# PERMi7 s _ <br /> �� <br /> i.EGA LOTNO. BLOCK TRACT <br /> UFSC. <br /> OWNER ADDRESS ZIP PHONE <br /> �2i �� f'�Ultv � �OA �q ��ew �'Q�.�t ��3 �1.�5 247- S��,S' <br /> TENANTNAME I C�QII�FORI���. I -la�r 3�' ��%�7 <br /> CONTRACTOR �e,�e p J�r �`� ApDRE ZIP CONTR.LICENSE M <br /> r. J�v Bo,c � �9 48��s <br /> PHONE �ESCv�2 �00'7 Q'7 <br /> s�� � q - ,gv Ila..�- �� <br /> � PROPOSED USE OF BUILDING I Building Mechanical Additlon HEAT SOURCE <br /> PERMIT R Combination�Plumbing WORK �AtleraUon I7 ElacWc <br /> TYPE D Demolition "�J Slgn TYPE New � cas <br /> D Sprinkler Repal�IMalnl. Olher <br /> CONTRACi PRICE OF WORK CITY OF EVERETT LOCAL SALE9 TAX CODE IS�705 <br /> WORK DESCRIPTION • <br /> � �eplq�c ew�hny v�.a�- s<,.-�.���� be�c„ ha��c a•d w,ekr- <br /> PLUMBING MECHANICA� <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> I _ <br /> , WATER CLOSET(TOILET) A;C—A/HANDLING UNITS <br /> BATHTUB F'^RCED AIR SYSTEMS <br /> � _ LAVATORY(WASH BASIN) HEAT?UMP <br /> i = SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL = CLOTHES DRYER <br /> DISiiWASHER RANGE HO00 <br /> LAUNDRY 7RAY WATER HEATER <br /> i CLOTHES WASHC-R METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> ! OR'�NKING FOUNTAIN GAS FIREPLACE <br /> ' FLOOR DR.41N GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> j � OTHER�1�/A}t. .�npt, OTHER <br /> I HEREBV CERITIFV THAT I HAVE RE�D AND EXAMINED THIS APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PRf�V�SIONS OF LAWS AND ORIDINACES GDVERNING THIS NPE OF WORK WILL BE COMPLIED WITIi WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTiNG OF A PERMIT DOES NJT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF 1HIS PROPER71'T FORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS W AND 296.200 WAC. <br /> / 7 p3 <br /> S�gn ure of � iContractorlAuthonzed Agent ate <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />