Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> �J 3 -t�o <br /> SITE ADDRESS PARCEL TAX I.D.# <br /> '{321 �LE3Y AVE . 43 S 6-2'�v^000-oc�o(o �j-�C <br /> LEGA lOTNO. BLOCK TRACT <br /> DESC. S�E AT'�' HEb <br /> OWNER AODRESS ZIP PHONE <br /> f'Ra12�F�.IGE ��- /.�t�'.AL C.�t�GT�1�, 9�6 T-PG��IG AVE.�'F?o. '�5� 1�6'7� �Y�.Tr %8 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> xn��(��E�f�L � I �viFJ 5A,(l-� �f2s-25�-ogGB <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> KI�'(LEY C�LE PG��L'�1,6"('�S IOID SE�YE-�-�T�(� MAL(-`IVRY SE °J62�8 KIRTLGA2"i <br /> PHONE <br /> 425-Go� -D400 <br /> PROPOSED USE OF BUILDING Building fl Mechanical Addilion HEAT SOURCE <br /> �¢� cXGu�P.hIGY PERMIT �Combination �_� Plumbing WORK �Alteration � Eleclric <br /> ��,i,...�.,�.��Y G� TYPE Demolition U Sign TYPE New Gas <br /> $lJlLt'�I Sprinklef Repair/MaInL Olher <br /> CONTRACT PRICE OF WORK �, �� q�� , p�� CITY OF EVERETT LOCAL SALES T/UC CODE IS 3705 <br /> WORK DESCRIPTION <br /> col-I�JiRl7G'Tl�r-..l o� A 11�YJ �JBd �• �"C. ?.�LJ Il.blt-I� to HOIYo� Ai�l �M��NG <br /> GE��T� b1�tC7 ltJrill'Al_LA`f101J c� Ahl B.LL��wALLOtJ LI�•1b6Ri.SfZOUNb �U "lr <br /> -17kN K. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&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 �AS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND E;�,4MINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDIN.4CE5 GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON��ORS LAW 18.�AND�200 WAC. <br /> �nt+T c,f rn 3•2 •dd- <br /> Si nawre o( wnedContrectorl �onzed A ent Date <br /> 9 9 DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED ��L <br />