Laserfiche WebLink
RPR-15-2004 22:22 FROM: �fi:::-i252578857 F.2 <br /> � � <br /> PEItMiT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT.WP.5920; <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE A�DRESS P.4RCEL 7AX I.D.p PERMIT x <br /> 9t�0 I � ��/T fl� 00�/3�'a3 �IGolod Ma o -flz <br /> � <br /> LEG LO7N0. BLOLK 7RACT <br /> DESC. <br /> OWNER AODRESS ZIP PHONE �Q� <br /> �u.cqene� ��rn� l� �� a 1 �-ro�r�e.. �-er���z�si yz�-zs�er�°' <br /> TENANTNAME CONTACTFORPERMR PHONE <br /> GONTR�A�;n /� �;�,n ,�G G�w,///� AODRE9, e�,. � / / ZIP CONTR.LICENSEM <br /> V�i lTdk C}�(L�/rf I �u�s C/JM 11`_�./G/ /� 'I`A (� �/ rr/� 7� <br /> PHON�CP Lo� ��IC� � L11Va��T{ZLG{�F-G Lo [ �"1 W�'TJT/�CJ77�U� <br /> PROPOSEDUSEOFBUILDING Building Mechanical Addillon HEAiSOLRCE <br /> S �� I PERM�T B Combinatlon �lumbinq IWORK B AlteraUon �E)ectric <br /> TYPE D Demolitian Sign 7YPE D New Gas <br /> �� Sprinkler U RepaidMaint Otner <br /> CONTRACT PRICE OF WORK 3�� — CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORKDESCRIPTO_�n�cl � r�p l�� yl^— � <br /> YY1 <br /> �r�v�ra sleya�D 30���'! <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM N0. TYPE OF fIXTURE 11R ITEM <br /> WATER.CLOSET(TOILE� _ A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEaT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL C!OTHES DRYER <br /> OISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER.HF�ITER <br /> _ CLOTHES WASHER � METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIRFP�C� <br /> FLOOR DRAIN GAS RANGE <br /> BACKfLOW PREVENTER GAS PIPiNG <br /> SINK(SERVICEIBAR/MOP/ETC.) EXHAUST FAI: <br /> OTHER OTHER <br /> I HEREBY CBRITIFY THPT I HAVE READ AND E?'AMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L <br /> PROVISION5 OF LAWS ANO ORIDINACES GOVERNING TMIS TYPF OF WORK WIL!8E COMPLIED WITIi WHE7HER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAT=CR CANCEI THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRLICTION OR THE PERFORMANCE OF CONSTRIiCTIOY. THAT I AM AUTHORIZEO BY THE <br /> OW NER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONT TORS LA 18.27 RCW AND 298.20 C. <br /> ���-h�n�-� y�14/�.� <br /> Sig�o OwnedContractodAut�ized Agent Date <br /> DEBIT 8 CREDIT CAR�S ARE NOT ACCEPTED <br />