Laserfiche WebLink
S[P-14-2004 10:30 FROM: T0:1925257Q857 p,l <br /> � <br /> PERMIT APPLICATION <br /> GITY OF EV�RETT PERMIT SEF?VICES <br /> 3200 CEDAft STRE�'f, EVEREfT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I,p,p pEqM�7 X � <br /> 7x� �LZ �-co�� �ve �b�3 3yr� o - � -� <br /> LE LOTNO. GLOCK TRACT � <br /> DESC. <br /> OWNER qDORE35 LP PHONE <br /> �'f �e-�e I'kc E��� I re [��'� �f�.4�-e � G� < <br /> TENANTNAME CONiACTFOR ERM17 PHONE <br /> S�t.�-e- � ,C-�rl2dt �z.I- 7 7a 3 � <br /> CONT C OR AODFtE55 ZIP CONTR.LICENSER <br /> .:.(I,�4�trl �/�-c�-� ��'l9 9 <br /> PHONE\�� U(c¢�,��a -Z�� aC�4 c-rlA-ff��ES'�j7/oQ <br /> �!T�/ <br /> PROPOSED USE OF BUILDING BUllding BChanIC21 Addltlon HEATSOURCE <br /> i'ERMIT R Combination Plumbing WORK R Alte2tlon �Ebctrlc <br /> , , S � T.'PE � Demolition Slgn TYpE D New p� <br /> SP�nkler �� Rapatr�MainL aner <br /> CONTRACT PRICE OF WORK �i 1�1 � CITY OF EVERETT LOCAL SALES TAIC CODE IS 3105 <br /> VV <br /> WORK DESCRIPTION <br /> G�q_f -f v C��.1' GJc-,�e•- fu�t� C�l� n�c�.c� <br /> J <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIJ(T'JRE OR ITEM NO., TVPE OF FUCTLRE OR ITEM <br /> _ WATER CLOSET(TOlLEn A/C—AIHAN�LING UNITS <br /> _ BATHTUB FORCEDAIRSYSTEMS <br /> __ IAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER UNI i HEATERu <br /> _ KITCHEN SINK d DISPOSAL CLOTHcS DRYER <br /> _ DISNWASHER R,4NGE HOOD <br /> _ LAUNDRYTRAY � WATERHEATER <br /> _ CLOhiES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RAIJGE <br /> _ BACKFLOW PREVENTER � GAS PIP�NG <br /> _ SINK(SEkVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I HEREBV CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE M1D CORRECT. ALL <br /> PROVIS!ONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OFi <br /> NOT. TME GRANTING OF q pERM1T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANy OTHER <br /> S7ATE OR IOCAL LAW REGULATING CONSTRUCTION OR iHE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS FROPERTY TO PERFORM THE WORK FOR WHICH APPLICAl10N IS MAGE AND I COMPLY WITH THE STATE <br /> CONT ORS L\W 27 RCW AND 296.200 WqC, / <br /> � ���i�6.U(J`� �/` S���z/ f{L�'77a 3z� <br /> S at re o OwnedContractodAuNonzcd Agont Dale <br /> _ DEBIT& CREDIT CARDS ARE NOT A•^,.CEPTED <br />