Laserfiche WebLink
PERMIT APPLICATION <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.# PERMIT# <br /> rzz �3 .oa �.. a� 00�972Z.3$P i n�o i-c <br /> LEGA LOTNO. LOCK TRACT <br /> DESC. <br /> OWNER ADDRESS LP PHONE <br /> �//� L f Ur,"s s IZZ� (3�oa.�...,�q A✓� �a�� (4ZS)77�l-GE48 <br /> TENANTNAME I CONTACTNAME � PHONE <br /> CONTRACTOR ADDRE55 LP CONTR LICENSEN <br /> Pa� � N.�t, P/u.a�•;� 3Heia,:r ORYM1�/O�4ls�'/Crf <br /> PHON <br /> 4 Z S ( �'' G/ � 7 <br /> PROPOSED USE OF BUILDING Building �Mechanical Addition HEAT SOURCE <br /> PERMIT B Combination Plumbing IWORK �Al�eration Q�.Electrfc <br /> TYPE g Demolition Sign TYPE New g Gas <br /> NO(�sY Spfinkler Repair/Maint. Other <br /> CONTRACT PRICE OF WORK �O� CIN OF EVERETi LOCAL SAlES 7AX CODE IS 3105 <br /> WORKDESCRIPTION �Ny�a �� Atu (icq"� /�-i+r Sf/f'ft'� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl7CTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A!C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> IAVATORY(WASH BASIN) = HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN S�NK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER R4NGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTA�N GAS FIR[PLACE <br /> fL00R DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICEIBAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTH�R <br /> I HEREBY CERITIFY THAT I HAVE READ AND FXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUfi AND CORRECL ALL I, <br /> PROVISIONS OF LAWS AND ORI�INACES GOVERNINC�THIS NPE OF WORK WILL DE COMPLIED WITH WHETHER SPEQFIED HEREIN OR i <br /> NOT. THE GRANTING OF A PERMIT DO[S NOT PRESUME TO GIVE AUTHORIN TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER . <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE��Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMf'LY WITH THE STATE <br /> CONTRACTOR LA 7�RCWAND29620DWAC. <br /> �,.� 7/6�m S� <br /> Signa[ure o ntradorlAuthonzed Agent Dste <br />