Laserfiche WebLink
!AN-OB-02 10:15 FRON-t10RTNNESTy^'°SINAQ 206-31l-OB34� T-115 P.O1/02 F-531 <br /> PERIi�lT APPLICATION <br /> CITY OF EVERETT PERINIT SERVICES <br /> 3200 CEDAR STREET, EVER61'T, WA 99201, 425-257-8810 <br /> SITE ADDRESS PARCEL TA7f 1.0.M PERMIT k <br /> �i Ci/o�� 10� 0 <br /> �EOAI LOT N0. � ELOCK TRACT , <br /> OESC. <br /> OWNER ADDRESS PHONE y8S" <br /> .,�.i � C��r�`� � �I � C �.� ar2 - a� to <br /> TENANT NAME CONTAC''NAME I a�o PHONE <br /> n!�rA C.'G„d;c.r ��I�«f �+y 3 }r- 6 6 t0 <br /> CONTRACTON � � S�� AOORESS GONTR. LICENSE IF <br /> �8o O '��oT��jK< �P �Wf1S//�S'y4,Qcw <br /> PHONE a a 6 - �P 1 - H�=�O Se+ 9tI 94 <br /> PROPOSED USE OF oUII.CING Building � Mechenieat Addita� HEAT SOUFiCE <br /> PERMIT Combination Piumting WORK at�raUon D f�xMc <br /> TYPE � Demolitfon Slyn TYPE New ,E�Oas <br /> S� Spr��aer FepaklNqinc U Omar <br /> CONTRACT PRICE OF WORK �, S U O CITY OF EVEREI7 LOCAL SALlS TA)(COCE IS�10s <br /> WORK DESCRIPTiON <br /> ` �in,Y�h� � o.�� -��tP��cr irre�� �l S �r �o��V�Aj <br /> �' i� 1 �"��� o.�� ytif ����+ �tn7av ...� 9 �f �('� <br /> G A <br /> N0. TYP!OF FlXTURE JR REM N0. TYPE OF FlIfTURE OR ITtM <br /> _ WATERCLOSET _ A/C-A/HANDLINOUNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH EWSIN) _ HEAT PUMP <br /> , SHOWER _ UNIT HEATERS <br /> .._. KI7CHEN SINK 8 OI:�POSAL ^ CLOTHES DRYER <br /> ,� OISFIWASHER FANGE MOOD <br /> J LAUNDRY TRAY __!_ WATER HHATER <br /> CLOTHES WASHER _..._ METAL FIREPLACE/STOVE <br /> , UFINAL FIREPLACE INSER7 <br /> _ DRINKING FOUNTAIV _� GAS FIREPIACE <br /> _ FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREVE��SER 'Z �AS PIPING <br /> _ SINK(SERVICE/BARIMOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ _ OTHER � <br /> I MEREBY CERITIFY THAT I H,1VE REAO ANO D(AMINED THIS APPUCATION AND KNOW THE SAME TO BE TfiUE ANQ CORRECT. ALL <br /> PROVISIONS OF LAWS AND bRI01NACES GOVERNINO Tli1S NPE OF WORK WIIL BE COMPLIED WITH WFIETHER SPECIfIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT pRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV 07HER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 7HE PERFORMANCE Of CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br /> OWNEfl OF 7MIS PROPERTY TO PEfiFORM 7HE WORK FOR WHICH APPIICATION IS MADE AND 1 COMPLY WITIi 7HE STATE <br /> CONTRACYOAS LAW 18R7 R�:W ANO E96.200 WAC. <br /> �� ' 1'�O�p�'_Ol`"� <br /> �r� �P� <br /> Sya rool wner/Coniraaor/Aumori e�Agent ��— <br />