Laserfiche WebLink
� -t �l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �. ;�' � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMi7• <br /> aa � -o� � <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE33 21P PHONE <br /> ����.� 1010� ��a� P�c� uv�� � mu���,o �� ��z�s� <br /> TENANT NAME CONTACT FOR PERMIT PNONE <br /> u, � ' �� lt � � �1�3 <br /> CONT C R�� (� �� ' �J]�� ADDRESS ZIP CONTR.LICENSE M <br /> GJm'neX ��'x 1l, � �� I2� <br /> PHON��� gu� a�3 .�!��h ��rncV� �(�Z75 �Efi°1311n►Y► <br /> PROPOSED USE OF BUILDING I Building f� Mechanical AddA�on HEAT SOURCE <br /> r�� PERMIT �Combination H Plumbing WORK �Alterelion n Eleclnc <br /> TYPE Demolition LJ Sign TVPE New D Gaa <br /> Sprinkler RepairlMamt U Uther <br /> CONTRACT PRICE OF WORN CITY OF EVERETT LOCAL SALES TA%CODE IS J106 <br /> WORKD�U�1 ION „ 1� -Q y IS�i `�1 V�11-� �) � ��� C <br /> Ar �.,V� \ (\ I <br /> 1��« t���' S S� � �mmoC�,��C. `l�{n-� ��'L <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CI.OSET A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKfLOW PREVENTER � GAS PIPING <br /> SINK(SERVICEIBARIMOP/ETC.) EXHAUST rAN <br /> OTHER OTHER <br /> I HEREBV CERITIFY iHAT I HAVE READ AND EXAMINE�THIS APPLICATION AND KNOW?HE SAME TO BE TRUE AND CORRFCT ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH NRiETHER SPECIFIED HEREIN OR <br /> NOT TME GRANTING OF A PERMIT DOES NOT FRFSUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> 0 F THIS PR PERTY TO PERFORM THE WORK FOR NMICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT O 11.A 8 RC h4D296200WAC <br /> V \ <br /> SignaWr o wnerl ontrectod uthorized gent ate �% <br /> DEBIT b CREDIT CARDS ARE NOT ACCEPTED z <br />