Laserfiche WebLink
�EP-19-2�05 i2:44 FRDi1:PEP.MIT ?257756315 -'"^�: '-4?52578857 P•1 <br /> PERIVIi�' APPLICATION <br /> CIT`( OF EVERETT PERMIT SERVICES <br /> 3200 G'tDAR STREET, EVERETf,WA 98201 <br /> 425-257-8810- FAX 425-257-885'/ <br /> SITE ADDRESS PARCEL TAX I.D.# P"cRld1T# � I <br /> l33 ( o t '�e- �° �3�-S-�- Yro�sz�t) jj;,� ,�� _ _ �/�, <br /> LEGAL LOTNO. BLOCK TRACT <br /> DE�C. <br /> OWNER ADORESS ZIP PHONE o� <br /> �al'l.�iw Ku`�r�4 y /3� / f(ac��� �ie/r�SF�'z�'`!"' ��? 73a� <br /> TENANT NAME CONTACTFORPERMIT. . PHONE <br /> �u� � ,(��d�- yzs ��a.�s�v� <br /> CON CTOR MORE55 � ZIP CONTR.LICENSE M <br /> W�J'+-� ��'�1� �-M� CJfy`ffli�J'97ic�3 <br /> PHO��/ �2i / �� � ��tG�9.T1'C-1� � �N IQ� <br /> PROPOSED USE OF BUILDING � Building ^Aechanical Ad�ilion HEAT SOURCE <br /> I PERMIT Combinahon �Plumbing WORK �!tl(eraUon �lecvic <br /> (�f—/� TYPE � Demolilion d Sign TYPE New a' <br /> ,} f ��� Sprinkler Rep21dA1ain1. OIOer <br /> CONTRFCT PRICE OF WOP.': ��r' �/}�7� � C�TV OF EVERETT LOCAL SALES TA7(CODE IS 7705 <br /> .ti� <br /> WORK DESCRIPTON ��,^ � �� I ��� �� /' � <br /> f U,��/:��.� r� '/�'r-e <br /> r � T� �,,j� <br /> � �6��D0 lJTv � <br /> PLUMBING MECHANICAL <br /> NO. iYPE OF FIXNRE OR ITEi.1 NO. TYPE OF FIXTURE OH ITEM <br /> WATER GLOSFT(TOILET) A/C-NHA.NDLIPJG UPJITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT NEATERS <br /> KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER __ �+NGE HOOD <br /> LAUNORY TRAY __ bVATER HEATEP. <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL _ FiF2EPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FIOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICEIBAR/MOP/E7C.) _ EXHAUSTFAN <br /> OTHER _ OTHER_ <br /> 1 NEREBV CERITIFV THAT I HAVE READ AND EX4MINED THIS APPLICATIOh AND HNOW THE SAt.4E TO BE TRUE AND CORRECT. AlL <br /> PROVISIONS OF LAWS AND ORiDINACES GOVERNING THIS TYPE OF N'ORK\YILL BE COMPLIcD WITH VJHETHER SPECIFIED HEREiI�OR <br /> ST�ATE P.LOCALILAIM1OREGULATING CORS RUCTION OR THE PERFORLI�ANCE OF CONSTRUCR O�CTH TMI AARAUTHfORl2 D BV THE ER <br /> OWNER OF THIS PROPERN TO PERFORM THE�VORH FOR WHICH APPUCATION IS M11ADE AND 1 COMPLY WITH THE STATF. <br /> CONT CTORS LAyr .27 RCW AND 296 20 � /�� /� <br /> � �� <br /> �G1,c.�.'4 `��f��� �t% <br /> Si al re of OwnedCoNractor/A rized Agent Data <br /> DEBIT S CREDIT CARQS ARE NOT ACGEPTED <br />