Laserfiche WebLink
04/17/2006 �8: �0 3605682085 CORSTONE CONTRACTORS PAGE 01 <br /> ', <br /> � <br /> � <br /> PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAF STREET, EVERETT, WA 98201 <br /> 425-257-8810- FA.X 425•257-8357 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �(od�_G�-jq <br /> SITE ADDRESS PARceL TAX I.o.# pE��!^� 1 <br /> r�b�s Lomharz� , EJeret� <br /> LEGAL LOTNO. 6LOGK TRA�7 <br /> DESC. <br /> OWNER AD�RESS CITY2IP PMONE <br /> Y�/�C,�o�lc�s Cor 10"ZZ� t�1E Po��s�C' 1�i�rKlarc! 9$033 <br /> TENANTNAME I COHTACTFORPERMIT GHONE <br /> VYlC,�IAI�S �r <br /> CONTP.4CTOH ADORESS CITY217 GHONE �Ip� <br /> Corst-ar�e.C.or-�c�e�"s p o �pX�80 �r,o4wv�� 4�83 t <br /> CONTR.LICENSE A �.�s-�-�L98�k Kz <br /> USE OF BU�LDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �e,�-�);,1,`��N�'� `Eledric _Gas_,Other a-���� <br /> i WORK DES.^•RIPTION �`("QC'� 'E. Y�`�–��'C��S � �f-'. �A e– Cd(Yl(��lCLY1C`_�._+ <br /> � <br /> I PLUMBING MECHANICAL <br /> N0. TYPE OF FIXr�IRE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> I0�-_ Toilet _ A/C–airhandlingunils <br /> BathtUb _ Forced alr syslem5 <br /> + Laaotory(wash hasin) _ Gas piping <br /> Shower _ Water heet?r <br /> � Kltchen sink&disposal _ Gas freplece <br /> �ishwasher Gasranga <br /> Clothes washer + Clolhes aryer <br /> Laundry:ray _ Range hood <br /> Sink(servirR/barlmopletc.) _ Ext�aust ta� <br /> Backflow preventer Heat pump <br /> = UfinPl _ Unit heBle� <br /> _ �nnking Fountain _ Boilcr <br /> Floor d�aln _ Refrigeration <br /> I _ Grease trep _, Woodslove <br /> Roof drains Other <br /> Other — <br /> I <br /> CiIY OF EVERETT LOCAL SALES TAX COOE IS J106 <br /> I hereby cerilify that I have read and ezaminea this aopiica�ion and know the sam:to be true and corret6 Ail provisians ol laws and <br /> ordinaces goveming Ihis type of work will be wmp��etl with whether specifietl herein ar noL The granting of a permit does not presurr;e <br /> to givo authority to violale or cancel the provitio�of any other 5t3te or local law regulaling ConstruGlion or the perfOfmance o( <br /> ronstnicticn.That I am authorizr,d by Ihe owner o(this property to pedomi Ihe work for which application is made and I comply with 1he <br /> State Gontrectors Law 1t3.27 FCW and 255.200 WAC. <br /> Q ' � �a I�—t lUc� I <br /> Signatu o�Ownen(:ontr3ctorlAuthonZetl Agent Date <br /> � <br />