Laserfiche WebLink
�tRMIT APPLICATIUN <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.8 PE i a <br /> (�F3� ��Oy /�) 6.308 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNEH � ADDRE39 ZIP PNONE <br /> /'+yY�/� J�OS� L-C1NS%• <br /> TENANTNAME I CONT0.CTFOR PERMIT PHONE <br /> CONTRACTOR ADDRE39 ZIP CONTR.LICEN9E M , <br /> ,P-0,�i�so.v Pc.ti,G . ,,`L <br /> PHONE �3lo��uo3 � ���� 19330 i��nv �� ti.t q�if,-� �+b�,�•p#Z�zc� <br /> PP.OPOSED USE OF BUILOINO f� Bullding f7 MeChanicel Addillon HEAT SOURCE <br /> PEHMIT �-1 Combinallon �-t Plumbing WORK � Allerstlon D ElecVic <br /> s� rvFE }{ Demolitian �j Sign TYPE New D Ges <br /> AQ Sprinkler Repalr/Maint. �� ONer <br /> CONiRACT PRICE OF WURK ¢ 3�OU CITY OF EVERETT IOCAL SALE9 TA%CODE IS J103 <br /> WORK OESCRIPTION <br /> /.cJS��'1'c..- /r7F�E SP/'�/tif/C�7� �a/ /c-Cx.. S�(� <br /> PLUMBINl3 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR�TEM <br /> WATER CLOSET(TOILET) AIC-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATEIi <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL � FIREPLACE INSERT <br /> DR�NKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIP�NG <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> — � .CD.e�,�.r�rrl <br /> I HEREBV CERITIFY THAT 1 HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTIN�OF A PERMIT DOES NnT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISIUN OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATIM1G CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTIiORIZEU BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOIRS LAW' }8.27 AND 7 .200 WAC. <br /> �l- �� ��y�1�3 <br /> Signaturo of OwnedContradon ulhonzed Agenl L�1 t�e l/L <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />` <br />