Laserfiche WebLink
DEC-04-02 41ED 12�17 Ph <br />^7 � <br />'� :% / t <br />SI7E ADDRE55 <br />�or No. <br />) 6'.(' <br />EVERETT PERMIT SERVICES <br />FRH N0, 425 257 8857 <br />( <br />PEkMIT APPLICATION <br />CITY OF E.VERETT PERMIT SERVIC�S <br />3200 CEOAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />P, O1/O1 <br />PARCEL TAX I.D. fl � P�RMIT A ./ 9 <br />2���;o7v�� �c��lon i�'�L�'��`'l� <br />BLOCK 'TF�ACT <br />� i 9 c� �, (t? c{. �c? <br />�/P_t�i�G�!�^�i���.D�•i7a.�t� ��l�S iC��7�fa�iH✓C'N. JN.�L.///��' /,J�L�/ �G'6L1. <br />� �.:J/3 <br />TENqNT NAIdE CONTACT NA"dE I / PHONE <br />! � 1 1%� � K' �' 06 6`'' 7" !� F,% i c�`, ,� <br />l3i>[y� P � �iJ �''ITI�G�I"'C'�J !�C%aV"J7ort; yZ� O 0 � .J�<%'� � _ <br />CONTRACTOR � AOORESS � ZIP CONTR. LICE4SE M <br />�'Lre. /���r:�� nic�a�j ��s'%�' is ����✓e�A/� T`�J�'1�-SC'I't3l3fl <br />PHONE �� ` <br />/�- N� %7� e nc' �`�i!� Z <br />' PROPOSED US'e �F BUILUING <br />�� C d i"n iT7 I.? %G 11L � <br />� <br />� <br />Building Mechanical <br />PeR7n1T � Com6inalion � Plumbing <br />TYPE Oemolition Sign <br />Sprinkler <br />Addifon HEATSOUFCE <br />WOPK Alteral�on � Eiec.dc <br />1'YPE New Gs5 <br />, Rapalrihlaint. Othcr <br />CONTFACT PFICL OF WORK � y� cw CITY OF EVERETT LOCAL 54LE5 TAX COOE IS 3105 <br />, ��c:� 7 <br />WORK DESCRIPTION I � � � <br />��v�lolc_C.rv, Z dc����� 7"O���Ed�`� a�tC.�d_qP tJ/)i�3� �i�� {a�//�a' <br />� �. <br />� �/ <br />!—� io,� y�,����Lk, i� T,7 Jd.�f��,-,� <br />N0. I TYPE Of FIXTUFiE OR ITEPd <br />_ bVA' <br />E�A7 <br />LAV <br />_ S`iC <br />__ ta�i <br />DIS <br />__� LAl <br />CLC <br />Uiil <br />DRI <br />_ FLC <br />_ e,ac <br />_, "IN <br />_ � OTI <br />�� <br />S r �.�o,'� � / Z.i� /2i�`> <br />� z �,si� �7 - �,� <br />, �—/�.N� �„�r� G�,���, I �1 6�n � <br />I hq 3 i fa� �� �c_ r S �� �.�/ ���, <br />.J � ) � <br />/fu��, l�� �e �'�;i /a; /S"o�or� � <br />�.% ����� �OI'�io�2 OT� � <br />/I�, �/,.F S cJ �/� i <br />N0. I 7YpE OF FIXTURE OR ITEtd <br />_`�' A/C—AlHANDLINGUNITS <br />___ FORCED AIR SYSTcMS <br />HEAT PUMP <br />_, UNIT HEATERS <br />CLOTHES OFYEii <br />_ RANGEHOGD <br />WATER HEATER <br />METAL FIREPLAC�/STOVE <br />_ FIREPLACE INSERT <br />_ GAS FIflEPL�10E <br />_ GASRANGE <br />__ GAS PIPING <br />_ EXHAUSTrAN <br />i He'n��Y _;CATION ANO KNOW TN6 3Ah1E T0 9GTRUG AN� CORRCC7. ALl <br />PFrVi�lOi __ _ OF WOFi( WILL Bc COMPLIED WITH LVHcTHER SFECIFIED HERE!N OR <br />NCT. TH? GFIANfIPIG CF A PEPMI i OOFS NOT PH"cSUME TJ GIVE AUTHCFITY TO VIOLITE OR CANCEL THE F'nOVI510N CF ANY OTHEii <br />STAT� OF LOCAI LAW n^EGUUTING CONSTRUCTION OR THE iEAFORMANCE OF LON$TFUCTION. THAT I AM AUTHOF2ED 9Y TH'c <br />OW.:[R QF THIS F iOPE�TY TO PERFCah1 THE WORK FOR WHICH APPLICATION 'S MAOE AND I COMPLY WITH THE STATE <br />CONTRACTOF$ LA/W 1"e."e7 RCW AfVD�!96.200 bVAC. <br />�i��L�iL�t' i��'rT`a'�_� �i`/t�,� � <br />