Laserfiche WebLink
' r <br /> I PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257•8857 <br /> rno3as-� <br /> SITE ADDRESS � '", �� PARCEL TAX I.D.# �/ PERMI7# <br /> ,��" �0 ti� �`�E�L-� �hAL� W � �LY. � j �U, Jo�� OSIU " L C. — <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER A�URESS ZIP PHONE -� / �� U �, . � <br /> ('12 �� � <br /> "�c��_i ��'.S �N7�Rn�To��nL (;ui v,�. w� }•i �� S"1 .; � S(=�'�T�r" r w"q . `��ol <br /> TENANT NAME CONTACT FOR PERMIT � PHONE <br /> ��� ic, � ('�:,-. ��Cv��oPn,Enti' M���E �. �ct�t � (z������� • �<� Y <br /> CONTRAC70R ADDRESS � ZIP CONTR.LICENSE# <br /> �-�� 1c �c A � C� C �ti�F�� IId� Z- N�'�"m < C��r ( 1t`( <br /> � PHoe�e �'� � � S`1_� .jL � ��( �;c?�!'C���v�iA � `� 'C� � i l <br /> rl1� 1 �'� C. Zl��' � <br /> 7 <br /> � PROPOSEDUSEOFBUILDING I1 Building 'S7�MechaniCal �Addition HEATSOURCE <br /> I PERMIT �-� Combinalion �--� Plumbing WORK Alteration �Eloctdc <br /> NPE j� Demolilion Ll Sign TYPE New Gas <br /> L� Sprinkler Repair/Maint. Otliar <br /> CONTRACT PRICE OF WORK � Ci L J `.— CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> � 1 <br /> WORK DESCRIPTION � ,� ;� I � <br /> �� luirl�L � � i � t�->S ��'1.� � �� �� �Z � l � C S[ � S� � , � <br /> � i tiz � p_.� ������ <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE nF FI%TURE OR ITEM <br /> WATER CLOSET A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEIv15 <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE Ii00D <br /> LAIiNDRY TRAY WATER HEATER <br /> CLUTHES WASHER METAL FIREPLACE/STOVE <br /> - URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> Fl_OOR DRAIN GAS RANGE <br /> i gGf,KFLOW PREVENTER GAS PIPING <br /> I SINK(SERVICE/BAR/MOPIETC.) EXHAUST FAN <br /> i _ OTNER _ OTHER <br /> I <br /> I I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND K�IOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERhING?HIS TVPE OF WORK WILL�E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM11 AUTHORIZED BY THE <br /> OWNEP.JF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON�CTO �S LAW 1827 RCW AND 296200 WAC. <br /> ���I � <br /> i 1-nl%.�"J � � U V j <br /> I Si nature of wner oniraclorlAuthorized Agent i ate <br /> I ( DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />