Laserfiche WebLink
NOV-21-01 10:29 FRON-HORTNWES7-f"^IIAAR 206-37<-083� - T-T74 P.O1/01 F-950 <br /> PERMIT APPLI�ATION <br /> E,, C:ITY OF EVERETT PERMIT SERVICES <br /> 3200 CE��A STP.EET, EVERE'TT, WA 98201, 425-25�-9810 <br /> SRE ADDRE55 ^ ' PARCEL TAX I.D,k PERMIT# �7 <br /> 3 �3 � k-'vOw�« ��l OO�IS '}S�-�4 p I :I t9;� � Q ; �, - �) �-/ <br /> LEGAL LOTNO.�— B60CK TRACT i <br /> DESC. L <br /> OWNER ' ADDFiESS ' p <br /> ' H�t$ � <br /> C�ti„�u.� �3 qs a o.� 1 3 z ; t �c_�,,..� /�..-r � 2 s y - �1s 6 <br /> 7ENANT NAME I CONTACT NAN:E i PHONE <br /> N/Q /� 2 e b • <br /> 4 \ �A^t�il-a 1n�.��4s �'�' � ^S � Y- ( �t 0 <br /> CONTRACTOR j AODRESS i CONTR. L.ICENSE t <br /> w GS c O � 2�v� <br /> ��k.l e� lfi_. � � t� <br /> PHONE � iW�q-S}}L�6S SSaIC <br /> Lo b • 2. Ft 1 - `1�-v u SaN,F,(,�Q .�5 <br /> PROPOSED USE OF BUILDING n Building Mechanical � Addition HEAT SOURCE <br /> PERMR p Combinadai� � Plumbing WORKI ,�'g AheraUon � Eiacvic � <br /> S � R TYPE D Demolition U Sign TYPE � D New Ges <br /> �� Sprinkler [� qepeirRvlaint. Other <br /> CON7RACT PRICE OF WURK �� rj' ��=" CITV OF EVERETi LOCAL SALES 7AJC COOE IS 3105 <br /> WORK DESCRIPTION <br /> �— c.�o-�j e o w'� 5�r �, S c.s �..� � w2`�e' I,.e.`�'`" <br /> PLUMBING MEGHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TYPE OF FIXTURE OR REM <br /> _ WATER CLOSET _ A/C-A/h!.ANDUNG UNITS <br /> _ BATHTUB .� FORCED AIR L'YS7EMS <br /> _ LAVA70RY(WASH BASI�I) � HEAT PUMP <br /> _ SHOWER � t;Ni� NEATERS <br /> _ KI7CHEN SINK S DISPOSAL _, CLOTHES DRYER <br /> , DISHWASHEF RANGE HOOD <br /> _ LAUNDRY TRAY ATER HEATER <br /> _ CLOTHES WASHER � METALFIREPLACE/STpVE <br /> � UFINAL _ FIREPIACE iNSFRT <br /> ^ DFINKING FOUNTAIN _ GAS FIREFtACE <br /> � FLOOR DRAI� � GAS RANGE i <br /> _ BACKFLOW PflEVEN'CER � GA5 PIPING <br /> _ SINK(SERVICE/BAWMOF/ETC.) _ EXHAUST FAN <br /> _ OTHER , _ OTHER <br /> i HERE9Y CERITiFY THAT I NavE�EAD AND EXAMINED THIS APPLICATION AND KROW THE SAME 70 BE TRUE AND CURRECT. ALL <br /> PROViSiONS OF LAWS ANC ORIOIPIACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEQ WITN WHETHER SPECIFIED MEREIN OR <br /> NCT. THE GRANTING OFA F�4MIT DOES NOT PRESUME TO GIVE AUTMOFITY 70 VIOiATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW RFGULA7iM1G CONS7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWhER OF 7NI5 PROPERTY TO PE RFOFM THE WORK FOR WNICN APPLICATION�S MAOE AND i CONiPLY WITH THE STATE <br /> CONTRnCTORS LAW 1827 RCW M!D 2962C0 WAC. <br /> i <br /> / nJu�/ L � � �d <br /> Si ureolOwneUContrettorAuth z Agen[ Date' <br /> �� <br />