Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERE7T PERMI i SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810- FAX 425-257-Bd57 <br /> SITE ADDRE33 PARCEL TAX I.D.N PERMR M <br /> Z05 C �,,v Rc�, 5�; f 1Z 1=��,.� )ZL$'oy -y-oUR -uoo ; 0302-� <br /> LEOA LOT N0. lLOCK 7p�� <br /> DESC. i <br /> i <br /> OWNER � ADDRE88 ZIP PNONE <br /> L�iIGoYON I� +ptlt� � U� G� SINo �� S • �l� �2 �✓.�.'� �j� py� <br /> TENANT NAME CONTACT NAME <br /> C�, s� L l. Do ► � ao I (�',ll ( � ��' u7 �3�y `I9 4�, � <br /> CONTRACTOR ADDRE88 aP /� COMI1,LICENBE� i <br /> PMONE /� :�L S p (�O �OJ k <br /> a �, i� � �l� �, h � H a .,d �� r�o � � �� ��� hh�.. � cd G�b. �j`�cY� � <br /> PROPOBED USE OF BUILDINO Building r1:x�u��echanical Addttbn MEAT BOURCE I <br /> PERMIT Cambinelion IJ Plumbing WORK R luterelbn g�,y� <br /> TYPE Demollllon U Sign TYPE B New �R..( Oaa <br /> Sprinkler(w ol heede) RepsldMelnt. U pyyr <br /> CONTRACT ppICE OF WORK CT'OF EVERETT LOCAL BALEB TA%CODE IS J106 <br /> WORK DEBCRIPTION <br /> p .� �� r�r�.. � �. <br /> -��' v ,",�-r��� <br /> PLUMBING MECMANICAL <br /> NO. TYpE OF fl1(TURE OR ITEM NO. TYPE OF FlI(TURE OR ITEM <br /> _ WATER CLOSET(TOILET) _ q/C—A/HANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> = KITCHEN SINK 8 DISPOSAL _ CI.OTHES DHYER <br /> _ DISHWASHER _ RANGE HOOD <br /> _ LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACEINSERT <br /> _ DRINKING FOUNTAIN OAS FIREPLACE <br /> _ FLOOR DRAIN � GAS RANaE <br /> _ BACKFLOW PREVENTFR _ f;qS PIPINO <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> _4_ ✓1'1 o;p � ��� �_ <br /> — - - — - .f to 'G T <br /> 1 HEREBV CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KIJOW THE SAME TO BE TRUE AND COHRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES OOVERNIN6 THIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME T7 OIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW qEGULATIN6 CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT I AM AUIHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPIY WITH THE STATE <br /> CONiRACTORS LAW 1827 FCW A D 296.200 WqC. <br /> i^ + � <br /> o�-7 -c�'77 <br /> Sipnaturo o wned ontractor/ uthonzed gant e�e <br />