Laserfiche WebLink
JHN-03-03 fR! 04�15 Ph EUERETT PERnIT SERVICES FAX N0, 425 257 8857 P. 04 � <br /> —P <br /> I �NERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET"f, WA 98201 <br /> 425-257•8810-FAX 425•257-8857 <br /> _ o�c�5 �a'',� �/'�a � QIiJ .jo/ - 03 �c <br /> SI7E 0.L��qESS PARCEL TAX I.D.N �ll ja13�0/� PERMIT M <br /> ,+✓�•C• 23�d� �� .�Z�?Llh! �� �5,�9/-w74 -DDI' <br /> GTX/-��o7' G1�9� 0�0/ � D7� <br /> LEGA I,OT NO. BLOCK TRACT <br /> DESC. �- �[f 7 <br /> �. OWNER A DRESS 21P PMONE <br /> S�E�C�� 23'd L;�.C. 8uS- �ob✓de✓ew #ltl� g80 `� S� - <br /> NE � �-5/- .�oov <br /> TENANT NAMC CONTACT NAME PMONE /r� � � <br /> �Jc�l9ree�s Cr�i�a-i� I f�e�'d,'cl�a✓dsc�� - sj�a� ,r�✓c���3.zo,� , <br /> CONiRAC70R AODRESS �/ � 5 / ZIP CONTR.LICENS�Y I <br /> /�l O.. /(O .-�. ( �1� � <br /> / n /- �, / �,/ ._ /� / a r I <br /> PHONE I Q.� � G G(//YI Gl L�'�)V� �/(.L• �;-, o . <br /> � l� � � �a 9 �o S'y � � � <br /> PROPOSED USE OF BUIL�ING fJ� BUiIdiOJ Mechanlcal Addilion HEqT SOUACE II' <br /> pERN.17 �I�1 Combinalion R Plumbing WoqK Aqemiion Q Eleclnc � <br /> m -�Re fq/) TYPE �,.J Deinolilion � Sign I7YPE � Now U O:.s <br /> u Sprinklor ReDair/Mainl. U Oiher <br /> CONTRACT PRICE OF WORK 91 , m�%l�� q7Y OF EVERETT LOCA�SALES TAX CODE IS J705 <br /> ,y. <br /> WOFiK DESCRIPTION <br /> Ganst�'ve� 4 f'iee �5�nd�� �1qil �ii/d� �- 9�p�tai��q,�/�c l3, lxS� 5�' �,7i}h <br /> .5��9l� dri✓e- �h✓J �' si� �,✓kii?GJ. <br /> (/ <br /> PLUMBING MECHANICAL <br /> ND. TYPE OF FI%TURE OR IT[M N0. 7YFE OF FIXTURE OR ITEM <br /> _� WAl'f_R CLOSET A/C-A/HANDLING UNITS <br /> � BAl11TU8 ,� FORCED AIR SYSTEMS <br /> _„�_ LhVqTOHY (WASH QASIN) _ HEAT PUMP <br /> ^ S�iOWEfi _ UNITHEATERS <br /> ' __� KITCFIEN SIA'K R DISpOSAL ` CLOTHES Df�YER <br /> ,__ DISHWASNER RANGE HOOD <br /> _ LAUNDRY TRAY Z WATER HEATER <br /> CLOTHFS WA51-IER METAL FIREPLACE/STOVE <br /> ' � URINAL _ FIREPLACE INSEp7 <br /> �. Df�INKING FOUNTAIN � GAS FIREPLACE <br /> � FLOOR DFAIN _ GAS RANGE <br /> ; __ BACKFLOW PREVENTEF GAS PIPIN(3 <br /> � SINK(SERYICE/BAR/MOPlETC.) .� EXHAUST FAN <br /> � 1_ OTHEn� fG.�l2��1/7�C .� OTHER A�✓' /� fG)�/J <br /> -L_ %in �itnLS__ <br /> �I J_I _ `�'�;, �_' — -- <br /> I HEHF.BV CLf,ITIFY 7'HA71 HAVE REAp AND EXA:AINC•�THIS APP�ICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl <br /> PHOVi510Y5 OG'CAWS ANb OP,IDIN4CE5 GOVERNING THIS 7YPE OF WORK WILL BE CCMPLICD WITh WNETHER SPECIFIED HEAEIN OR <br /> N07. THE GRAN7ING Of-A PEHMIT LOES NOT PRESUA7E TO GIVE AUTNORITV TO VIOtATE OR CAI:CEL TN[PFOv1510N OF PNY OTHER <br /> STATE OR I.00AI LnW PEGUI.ATING CONS7RUC710N OR THE PEPFOqMANCE OF CONSTRUCTION. THAT i AS!AUTMORIZED BV THE <br /> CPINFH OF THiS PHCPLfi7Y 70 PEf�FORM THE WORK FOR SV,iICH APP�ICATION IS MADE AND I COMPLY WiTM THE STATE <br /> i CC-1dTR�C70FS LAW tb.29 RCW AND 296.200 WAC. <br /> � <br /> I � ��� � A' �'��'� � <br /> Si9N�yI��'�H7�' CtCTIRL7thort'Lv0-Agont Data ��L <br /> - 5����1�,�».,�z 1�e�9� - <br /> „ �. <br /> _.— — � �i. � �—yl�,.��.��i 5 <br />