Laserfiche WebLink
R: ;RMIT A�PLICATI�N <br /> r,. CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � � �CS--v a c� <br /> 425-257-8810-FAX 425-257-8857 <br /> SI7E ADDRESS PpRCEL TAX I.D.N <br /> � S � I �La PE 7M /ZG✓ <br /> �7 <br /> LEGA L07N0. BLOCK Tpq� � <br /> DESC. <br /> OWNER ADDRESS <br /> ZIP FHONE <br /> �i"c ���.a /-/c/G�-�i"S P� a'o� Y3b �9��,�s��� �9 S'�� 23 <br /> 7ENANTNAME I CQNTqCTNAME <br /> PHONE <br /> �oAmiSCiwG [/nmr�, <br /> CONTRACTOR ADDRESS <br /> S.W. M cz/n9.ri i c.sc C �.,,c .7G a 7,t L LP CONiR.UCENSE R <br /> PHONE � � '�!'^. / YV � <br /> `/aS- �6�/ Y9yY' /Juv.�« r�.n 9��/9 7c��ezcr o�G �"�' <br /> PROPOSEDUSEOFBUILDING Building (((��� Mechanical <br /> PERMIT R Combination � Plumbin Adtlitlon HEAT SOURCE <br /> �,PE 9 WORK � Alterallon I R Electric <br /> B Demolition Sign TYPE New �.�,] Gas <br /> Sprinkler RepairR.laint. U Other <br /> I <br /> CONTHACT PRICE OF WORK CITY OF EVEREIT LOCAL SALES TAX COUE IS 7105 I <br /> WORK DESCRIPTION <br /> �'v�Gf/- ��N �7•�� /Gsr�ct- �Lrf�,.i3..vs �ixTu.� rs <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR ITEM N0. TYPE OF FlXTURE OR ITEM <br /> _ WATER CIOSET _, ,yC-A/HANpLING UNITS <br /> _. BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER <br /> � KITCHEN SINK 8 DISPOSAL — UNIT HEATERS <br /> � DISHWASHER — CLOTHES DRYER <br /> LAUNDRY TRAY _ RANGE FfOOD <br /> _ CLOTHES WASHER � — WATER HEATER <br /> _ URINAL _ METAL FIREPLACE/STOVE <br /> _ DFiINKING FOUNTAIN — FIREPLACE INSERT <br /> _ FLOOR DRAIN ._ GAS FIREPLACE <br /> _ BACKFLOW PREVENTER — GAS RANGE <br /> _ SINK(SERV�CFJBAR/MOP/E7C.) — �AS PIPING <br /> _ OTHER _ EXHAUSTFAN <br /> � G✓nmc /�-�,Ty�yt _ OTHER <br /> I HEREBV CERITIFY THAT I HAVE REA�ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALl <br /> PROVISIONS OF L�11NS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOWTE CR CHNCEL THE PROVISION OF ANY 07HER <br /> STATE OR LOCAI.LAI�y REGULATING CONSTqUCTION OR THE PERFOFMANCE OF CONS7RUCTION. THAT 1 AM AUTHOP,IZED BY THE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTAACTORS LqW 1827 RCW AND 296.200 WAC. <br /> /�✓-� � �s �� -�.� 7 9_ � 2 <br /> Signatute ol Ownar/Contractor/Authonzed Agent Dale <br />