Laserfiche WebLink
From:luAC INC. <br />SITE <br />� T0:914252578857 OBI'"/2011 04:27 n740 P.002/002 <br />F�ERMIT APP�LI�ATION <br />CITY pF EVERETT PERMI7 SERVICES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-25?-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM "i0 4 PM <br />LOTNO• I BLOCK <br />�V��Tr f/ous'i,�/( �ic�rr(Ex`� <br />7ENANT NAME <br />� � �i' <br />; /i./G <br />�o�.���: /M,4ez "`"'Qp1dgC3. <br />USE OF BUILDINQ <br />PAflCEL TAX I.D. � <br />TAACT OH $UBDIVISION � <br />- 27i1 /5�`'.f�ll'�enf . �'!.� <br />FOR PERY�T <br />HEATSOURCE <br />✓Electric ✓(3as _ Other <br />PERMIT tl <br />�� �i�4Z-O� <br />S�Z} -303 -//3 <br />���� rnunc ��b <br />�CQtIOiI 4�LS/— j0�� <br />CONTRACT PRICE OF WdRK <br />WORK DESCRIPTION //,�j'��L,/_ /�p�.,� �cf yyk.,�--Ul.�',' f%�J�c �(j�,,�J C,pPL�,C <br />/i�.I�s /a a.4. �kW.�r'Es (sEs �r,-nac,r�r, cuPy oF•seuP� oL' wo.s�,c oP,<.,aq.2� <br />HO. � IYPE OF FVfTLIRE OR REN <br />TOflaf <br />Bathtub <br />Lavatory (wash besin) <br />Shower <br />Kilctien sink 8 disposal <br />Dishwasher <br />Clolhes wesher <br />Water heater <br />Sink (service�bedmopJetc.) <br />Beckilow prevenler <br />Urinal <br />Drinkiny Fountein <br />Floor draln <br />preasa trap <br />Roof drains <br />Other <br />NO. I 7YPE OF FI%TURE OR REN <br />A/C — elr handlfnp uniLs <br />Foiced alr cyslems <br />Gas piping <br />Water heatar <br />Gu Iireplacg <br />Gas ranpe <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Bailer <br />Relriparalipn <br />Woodstove <br />Other <br />CRV OF EVCRE7T L�)CAL SALE3 TA% COUE 19 3105 <br />I horeby cedtlfy thal I have read and exemtnod this application and krww the same to be tnie and correct. All provisions o1 laws -and <br />ordinaces governinp lhis type ol work will be complied with whether spec�ied heretn or not. Tho prentlrg of a parmit does not preaume <br />Io give authorily to violate or cancel the provislon of any other s�ata or local law repulaqnp consWctfon ar the pedormence of <br />construction. That I am aulhorized by the owner of Ihis property �o perlorm lhe work tor which application Is mede and I compty wlth the <br />Ste�e Coniraclor8.�@w j¢2q fICW and 296200 WAC. <br />