Laserfiche WebLink
P�RMIT �►PPLIC�aTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />t405 �v��eT�' t�tAt.� w <br />IEGA LOT NO. BLOCK <br />AGF PROPE2T( MGMT <br />TENANTNAME <br />Go r� P u CA rL� <br />CONTRACTOR <br />PAP.CEL TAX I.D. N <br />�t O - Ovo 220q <br />TRACT <br />P, P�. �x I �52 � �-�-� E� �wQ. <br />ICONTAC7NAME <br />MA2LC�IE O�Cpi.1,.lELL <br />TNC S�U�•.l F,a.GT�R�'� ��G, <br />PHONE <br />425 . 82.2. ( 200 <br />PROPOSEO USE OF BUILDING <br />'1Z � "1' iL 1 L <br />0�-- po/ <br />q��� 482.OS�i2 <br />PHONE L�./js <br />7G�lo.3047 <br />CONTR. LIC iNSE M <br />s�v����D2o I 6 <br />$ I L-sr.l K'�3�0'Ll SS <br />AUDRESS 7�p <br />ir,�S-gT�' ST, <br />�, R���]p,wa.q$633 <br />Building Mechanical <br />PERMIT �•om6lnation Plumbing <br />7YPE Dsmolilion �Sign <br />Sprink!er <br />CONTRACT PRICE UF WORK jf 3 �� o� <br />�Addition I HEATSOURCE <br />Iteretlon � Electric <br />ew Gas <br />Repalr/Malnt. Other <br />CITY OF EVERETT LOCAlSAIES TAX CODE IS 3105 <br />WOFY, DESCRIPTION �� S-j" A 1-L �� ) S ET �F t� T E QhI a LL� <br />I�-�-u M�`�-� a'i' E D <br />Gu p. �..1 �l e � LE T`T 6 2S -�p R�h D: G�o i`-'1 P �S CA-1Z.� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATEP,CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FU(TURE OR REM <br />/Vl: — A/HANCILING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAI. FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />i HEREBY CERITIFY THAT I HAVE READ AND EXAMIPi::D THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING ThIS TYAE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRLSUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONS7 RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF��S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTFlACTOR3ILAW 18.27 RCW�BIB£9G200 WACif <br />�� �� <br />��� ��L <br />