Laserfiche WebLink
q��-4-���4 !2:4� FR0.9: 70:142�2573857 P. 1 <br /> PERMIT APPLICATIO�V <br /> CITY OF EVERETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 ,� � y ,_ U c.� <br /> V <br /> S�TE AODRESS <br /> PARCEL TAX I.D.A PERtAIT f1 <br /> 3Zlq K-f'6n�-�' �e- Cb437S7 uo9Uc� �c� ti � ���� <br /> LEGA LOTNO. BLOCK TRACT <br /> OESC. <br /> ADORESS ZIP PNONE <br /> OWNER �x.C� <br /> "r'�-n�ce �a7'r�. 3zl �, 1�ramd� q �wr `-�zSzsz��Z. <br /> TEN.INT NAME <br /> CONTACTFORPERMR PHONE <br /> ,Un�l� �Zr ��� 3z� <br /> CONTRA TOR AODRESS 21P CONTR.LICEN�E k <br /> PH��Y,� �j� �'e�ri�ICv.I �-�t�e q��� G!/�4-ffflE,l�Sr7(�Y3 <br /> ao� 2-�� �o`7�.orn� 5 <br /> Buildin r,� ��echanica� Addillon I HEATSOURCE <br /> PROPOSED USE OF BUILDING � {�-��� <br /> PERM17IT R�-( Combination U F'lumbing N!ORK �leration �G�as�� , <br /> (`�j7 7ypE �j DBmolillon U Slgn 7YPE New <br /> I <br /> c..J ( '� U Sprinkler ReDaidMainL Other i <br /> GONTRAC7 PRIGE OF WORK ZS6O �' CITY OP EVERETT LOCAL SALES TNC CODE IS 3�05 �I <br /> � <br /> WORKDESCR(IPTION / , � <br /> �l(/lf��l I � <br /> �, l�rr�n4� �nK!Qs1' W�-�. ju`'`�" �9PrP«� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR RE�71 NO. 7YPE OF FlXTl1RE OR fTEM <br /> W:TER CLOSET(TOILET) _ fJC—A/H.4NDLiNG UNITS <br /> BATHiUB _. ��ORCEDAIRSYSTEMS <br /> IAVATORY(WASH BASIN) __ itiEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KI7'CHEN SINK&DISPOSAL _ CLOTtIES ORYER <br /> DISHWASNER RANGF HOOD <br /> LAUNDRY TRAY � NlATER HF1tTER <br /> CLOTHES WASHER _ MEfAL FIREPLACFJSTOV[ <br /> I = URINAL = FIREPIACE INSERT <br /> DRINKING FOUN7AIN GAS FIREPLACE <br /> I = FLOOR DP.AIN GAS RANGE <br /> BACKFLOW PREVENTER � GAS PIPING <br /> � I = SINK(SERVICEIBAWMOP/ETCJ _ EXHAUS7 FAN — <br /> '�I OTHER _ OTHER <br /> i _ — <br /> i — <br /> I HEREBY CERITIFY TMAT I HAVE READ AND E%A��1NED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIUNS OF LAWS ANO ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COtdPUEC WI i H WHETHER SPECIFIED HEREIN OR <br /> iJOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOIATE OR CANCEI THE PROVISION OF ANY OTMER <br /> STATE OR LOCAL LA'P�REGULATING CONSTRUCI"ION OR THE PERFOA�NCE OP CONSTRUCTION. TNAT I AM AUTHOR�ZED BV THc <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS h1A�E 0.ND I COMPLY W ITH TME STATE <br /> '� CONT GTORS 78.27 RCW AN 296.ZOO WAC. ^ /� � ��� <br /> 4 d`� C� �Zg' �0 3 <br /> Si ne re of Owner Gontrac /Authorized Agent � Dale � <br /> DEEliT& CREDIT CARDS ARE NOT ACCEPTED ___ <br />