Laserfiche WebLink
� PERMIT APPLICA?� iONi <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 320U CEDAR STREET, FVERETT, WA 98201 <br /> 425-Z57-8810 - FAX 425-257-8857 <br /> SITE ADDRES5 f ' PARCEL TAX I.D. t� PERMiT x I! <br /> �S<� 5 �C I�9 L, � BO 31:1-�JQ`�J <br /> LEGA LOTNO. BLOCK TRACT I <br /> DESC. <br /> OWNER "�-I��� C�U(YrI'� (,�'!✓t:.Ltp ADDRESS ZIP PHONE <br /> i " <br /> R_���.��-�-. 3S1`�� �'c�/��, ��.,�' �i,�ve.!/ l"vl� �l 1G -C%�/��S <br /> TF,NANTNAME CONTACTFOR ERMIT PHONE <br /> ��C�'l��iSr,( �� i" �yt'�tJ� / l�'L � � C C' <br /> ! /r�,z�-�,-�i��-�e��-� �tc'�-�- �«yr1.,u�-� �� s- ») -/��7 � <br /> EON�k�AC�'aR-� / � ADDRESS ZIP CONTR.LICENSE p <br /> C�l Cx/ � L C �'� L! `'�n� �l�� p/ <br /> PHONE a �7�C'XLL-� C�%�S�)L <br /> _ `/> �- ?��� -511_, � ��������� �>�/� 9�s1�,�, <br /> PROPOSED USE OF BUILDING ,[� Buiiding D Machanical Addition HEA7 SOURCE <br /> PERMIT /��) Combination U Plumbing WORK� Atteration � Electnc <br /> � %� TYPE D Demolition U Sign 7YPE New Gas <br /> (,'�' �� � U Sprinkler RepaidN.a�m. Other <br /> � CGNTRACT PRICE Of WORK �.�, T�/� qTY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> / / l. <br /> WORK DESCRIPTION � <br /> i 1 ) 1 /� <br /> ��fl-'� ��i 6:� I��t��'b�iGL�" lti a l � (�-'.G � J� � � %7�,1i �G�i�_ y �i-s����r�v'� ��Q'$ " <br /> , � <br /> PLUMBING fJIECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR I7EM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> � BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK&�ISPOSAL CLOTfiES DRYER <br /> DISHWASHER RANGE HOO� <br /> LAUNDRY TRAY WATEP. HEP,TER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSER7 <br /> DRINKING FOUNTAIN GAS FIRcPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) _I EXHAUST FAN <br /> OTkER OTHER <br /> � <br /> I HERE6Y CERITIFV THAT I HAVE READ AND EXAMINED 1HI8 PPPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> � PROVISIONS OF LAbVS AN�ORIDiNACFS GOVERNING THIS TVFF.QF WORK WILL BE COMPLIFD WIT'i WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTIPIG OF A PERMIT DOES NOT PRESUh1E TO GNE AUTHURITY�O VIOIATE OR CANCEL THE f ROYISION OP ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERPORMANCE OF CONSTRUCTION. THA i I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROFERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS�AADE AND i COMPLY N�ITH THE STATE � <br /> CON7RACTOFS Lf•W 18.27 RCW AND 286.200�A'AQ i <br /> i na � r'�" / f/�GL-/�� � i <br /> g ryrt,of O eUConVac�onzed Ayent a� �/� I <br /> V DE817 8 CREJIT CARDS ARE NOT ACCEPTED � <br /> I <br />