Laserfiche WebLink
PE� �MIT APPLICATIO'. . I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870- FAX 425-257-8857 <br /> SITE ADDFiESS PARCEL TAX I.D.M I PERMIT x <br /> .3(,25 3aoa��A�1 �'`+�' �-01G�' <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> GR++��T 3t�0 K������5 <br /> TENANT NAME I CONTA!:T NAME PHONE <br /> STAQ�c�clC S CoCl�ce <br /> CONTRACTOR ADDRESS ZIP CONTR.UCENSEM <br /> PHONE C.A�C�2�D Gu t�G � •x��c.Ll . �3So0 ►1G.�z�('= 5'r 98�3�{ LAI(G�f Vn� o41R�C <br /> �i„�LKIAntD a.rA . <br /> PHOPOSED USE OF BUILDING Bu�lding I� Mgchanical Addition MEAT SOURCE <br /> PERMIT � Combinalion F��Sumbing WORK Iteration � Electric <br /> P�,��� TYPE Demo!ilion L/ Sigti IYPE New Gas <br /> Sprinkler Repair/Maint. Other <br /> CONTFACT PHICE OF\70RK qTY OF EVERETT LOCAL SALES T:.X CODF IS 3105 <br /> 4YORK�FSCPIPTIQN <br /> \ <br /> PLUMBING MECHANICAL <br /> NO. TYPE UF FliCTURE OR ITEM NO. TYPE OF flXTURE OR REM <br /> WATERCLOSET _ A!C—MHANDLINGUNITS <br /> BATHTUB _ FORCED AIA SYSTEMS <br /> —� LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER __ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES ORYER <br /> DISHWASHER RANGE HOOD <br /> tAUNDRYTRAY Z WAiER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACEISTOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOCR DRAIN GAS RANGE <br /> � BACKFLOW PREVENTER _ GAS PIPING <br /> � � SINK(SERVICElBAFUMOPlETC.) _ EXHAUST FAN <br /> ; _ OTHER _ OTHER <br /> i — <br /> � I HEREBY CERITIFY THAT 1 HAVE REAU AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> I PROVI5101.5 OF LAWS AND ORIDINACES GOVERNINC THIS 1YPE OF WORK WILL BE COMPLIED W�TH WHEfHER SPEC!FIED HEREIN OR <br /> � NOT. THE GR.�NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIUN OF ANY OTHER <br /> � STATE OR LGCAL LAW REGULATING CONSTR TIO OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> �. /^WNER OF THIS ROPERTY TO PERFORM E K FOR WHICH APPLICATION IS M�DE AND I COMPLY WITH THE STATE <br /> � VTRA R W �N AND 29 0 <br /> ' fj-uG-a�/ <br /> Si OwnedCoNracto uthorized Agenl Dale <br /> l <br /> , <br />