Laserfiche WebLink
! <br /> P�r2MIT APPLICATIOnI <br /> CITY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVtRETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS ;� PARCEL TAX I.D.# P MIT x <br /> ' S� 2 � CU�I2[ I I !� � c� c�'� ( (n8 SCI Z (�2 600 � -�'iZ <br /> LEGA LOTNO. BLOCK TRACT . <br /> DESC. ..���C � c�, rz _��� <br /> OWNER ADD ESS ZIP PHONE , S <br /> �� A-� t��1c� ��I , LL� 2 � 3z �ji(et��-�r� AUE ��2v1 ���- <br /> TENANTNAME CONTACTFORPERMIT PNONE <br /> ---" �oP�=1� � L�R( D� Qi'�� !�2�2 ��2 � . 5— <br /> CONT ACTOR� �_ n , ADDRESS IC L�I��l� �v�^Cf���NTR.LICENSE q <br /> ���A � � 1 �,c r�GST 2.I 3 z t-� -� � <br /> P NE <br /> Lf Z �� 2 �•z �( S D <br /> PROPOSED USE Of BUILDING ���///"""Building MechaniCal Addilion H T OURCE <br /> � ` „' �M PERMIT �Combination R�( Pl9mbing WORK�Ileration �Electric <br /> �_ U /� i �'� �� �� TYPE Demolilion LJ Si n TYPE ew Gas <br /> Sprinkler Repair/Mainl. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTIO� • <br /> � � u�`����z �ac� �� U N rT ,c�-�� ,S'c�i9 43-oZ/ <br /> PLUMBING MECHA ICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE O EM <br /> WATER CLOSET(TOILET) '` /VC-A/HANDLI UNITS <br /> , '� BATHTUB FORCEDAIR STEM;i <br /> �'Z LAVATORY(WASH BASIN) = HEAT PUMP <br /> � SHOWER / UNITHE RS <br /> KITCHEN SINK& DISPO5AL CLOTH DRYER <br /> i ` DISHWASHER � � AN HOOD <br /> � � �I,AUNDRY TRAY / R HEATER <br /> I � CLOT'iE5 WASy R � M FIREPLACE/STOVE <br /> I DRINKING F GNTAIN �- GAS FIRCE��SE RT <br /> I -- BAC�KFLO��REVENTER GAS P P NG <br /> SINK(S VIC�BAR/MOP/ETC.) EXHAUST FAN <br /> = OTHE � _ OTHER <br /> � <br /> ; I HGREBY CERITIFY THAT I HAVE REiD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> • PROVISIONS OF IAWS AND ORIDINACES GOVERNWG THIS TYPE OF WORK WILL BE C061PLIED N9TH WHETHER SPECIFIED HEREIN OR <br /> � NOT. TIiE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> I STAI c OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> j OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICF APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> Signature of OwnedContractor/Authonzed Agent Date —� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED 1�� <br />