Laserfiche WebLink
P'�RMIT APPLICATII�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />a��; i ���,tf %��� <br />LEGA LOT N0. BLOCK <br />/�/E'Grll2 i� �1 <br />TENANTNAME <br />�E,vTu,fj/�✓ ✓�e��sf�� <br />�G'O S93G (v�5" ad � O� I PERMIT• — <br />� SdarG-o/O <br />TRACT <br />Sw9 �✓�L C S. <br />ADDRESS �q� /L / 21P PHO�LS>�S�'^�(oI0 <br />�yl Frr� � Co . 9J�/ �.�; �6F,�r <br />CONTACT NAME // PIIONE <br />�u�-N� -�t�ar��•e � fa s.� 03.� 3 <br />CONTRACTOR C r �- .A�DRESS <br />�--e�7�� ,.5 �(�P�� S;5 � <br />PHONE <br />PROPOSED USE OF BUILDIN,,G,�� <br />�Qe�a/ �S f.z �� [/C/�t'P <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />Building Mechanical <br />PeRMiT R{..1 Combinetion Plumbing <br />7YaE �..j Demolition Sign <br />U Sprinkler <br />R�� /�<I,v�i,�/C� <br />3 �D�75� <br />r�►dsa�� M L <br />NO. � TYPE OF fl%TURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNORY'fRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (5ERV�CE/BAR/MOP/ETC.) <br />OTHER <br />� <br />aP CONTR. LICENSE � <br />Addition <br />WORK Alteretbn <br />TYPE New <br />pepairlMsint. <br />HEATSOURCE <br />Eleccr�c <br />Oss <br />OMer <br />CITY OF EVERETT IOCAL SALES TA7t CODE IS 7105 <br />sr;,U �.e�.n aa,�.�i y. <br />I O � ` � a,--�' G,> � <br />9-t� �3o/f5, <br />NO. I TYPE OF RXTURE OR ITEM <br />NC — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD � <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER _ <br />I MEREBY CERITIFY'HAT I HAVE REAU AND EXAMINED TFiIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINAC.ES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED NEPEIN OR <br />NOT. THE GRANTING JF A PERMIT ��ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR AL V.W REGULATINf CO TRUCTION OR THE PERFORMANCc' OF CONSTRUCTION. TMAT I AM AUTHORIZED BY THE <br />OWNER 7 IS P1iOPEPTY TO''cRF THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR TO S LAW iB27 R:' N .200 WAC. <br />/ <br />. IS� <br />�—� 0 � O Z --r, <br />Signeture o wn���LontraclodAu o zed Agent a a��� <br />Y •S�_ <br />�(3.>0' (�/i�� <br />