Laserfiche WebLink
— -- —--.r --- <br /> � <br /> ��, F�ERMIT APPLICATIQ�N <br /> (���T CITY OF EVERET'' PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257•8810 - FAX 425-257•8857 <br /> -- � <br /> SIiE ADDRESS PARCEL TAX I.D.M PERI.ti7� I <br /> c s� �L��tf �xo3d -oa� <br /> IEGa LOT NO. BLOCK TRACT <br /> DESC <br /> O�VNER ADORESS 21P PHONE I <br /> Ec.��zt�l/i5%� �l»'�CP /k�,✓i/.nl ���Y1�7�/ �CNc'yn�l� G�i•4' I <br /> 7ENAHT 4A/.1E I CONTACT NAME PHONE <br /> �t-ll�, Co� as.s �Y s f3�� �'> � %wr�> � zsr zs� / ��/ <br /> cor�raac a /����,�L aooaess 3�/�� ��, �, �, �.� L CONTH.LICENSE� <br /> �cl�/et� S/cc � `tIb'd�l Ev4'2Fsn�iGl D� <br /> PMo�,E 4z�--�,—�. � y� y � <br /> PqOPO5E.7 USE OF BU'L�JING Budding � MechaniWl AC�ition HEAT SOURCE I <br /> PERh11T R Combination Plumbing WORK � Aiterauon I� Eiecn�c <br /> /T I TYPE ❑ Domoiition Sign TYPE New � Gas <br /> C � ��/ U S prmkler Re Dainl.la:ni Other , <br /> L <br /> — I <br /> CONTRACT OFICE OF WORK �� ��'. � CITY OF EVEflETT LOCAL SALES TAX COOE IS 3105 I <br /> � <br /> WORK CESCRIPTION � �1 � /'' I <br /> /�-l��t"3� ��lLh�(. (lLCC.! 1� V i�Ur� ��. �/�-i' �,�GGC!�O�f-/C.,'E i <br /> �/eaf�/ -1 � C C'�� c%r",Ern . �. L/H� / i <br /> PLUMBING MECHANICAL <br /> NO. I TVPE OF Fl7(TURE OR REtA NO. TYPE OF FIXTURE OR REM I <br /> WATER CLOScT AiC —AiHANDI.ING UNITS <br /> 0aihiTUB - FORCED AIR SYSTEMS <br /> LAVATORY (YfASH BASIN) HEAT PUb1P <br /> _ SHOY/ER UNIT HEATERS <br /> KITCH'c:`7 S�NK S D�SPOSAL CLOTHES C9YER I <br /> _ DiSH:l:.Si�EA RANGE HOOD I <br /> LAUNDRY TP.A'I WATER HEATER <br /> CLOTHES'NASHER METALFINEPLACE/STOVE � <br /> URINA� FIREPLACE INSERT � <br /> _ O�;NNI`!G FUUNTAIP! Ga5 FlREPLACE i <br /> FLOOa DRAIN GAS RANGE <br /> BACKFLOV! PREVE'�TEa GAS PIPING <br /> 9�lK (SERVIC&BAFU6'OP;GTC.) _ EXHAUST FAN <br /> OTHER OTHER <br /> � tiEAEBY CERITIF-t TNA71 HAVE PEAD AND EXAIdINED THIS APPLICATION AND KNOW THE SA6fE TO BE TRUE AND CORRECT. ALL <br /> pr.r�JIS�O��S CF U'!/S A�7D ORIDIIlACES GOVER"�ING iN15 T'/PE OF YJORN WILL BE COIdPLIED'NITH'IJHETHER SPECIfIED HEREIN OR <br /> •�pT THE G�ANTR7G OF A PEPIAIT pOES NOi PRE5UtAE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHEFi <br /> S'A i E OF L�AL LP'!/REGULAiI�iG CCNSTqUCT10N OR THE PERFOPIdANCE OF CONSTRUCTIO�J. THAT I A61 AUTHOqIZED BV TFIE <br /> !I`;E . C� iNiS PROPEaT/TO PER R!d THE'NORK FOF WHICH APPLICATION IS 1dADE AND�CO�APCr WITH THE STATE <br /> AC CF .1.1VliB.'7RC'NAN 962C0'PlAC. <br /> `/ ,,�� , j' ,. � / 0 <br /> 5��gnatLre ol wnonContraclo iAWhoniotl �enl Data II� <br />