Laserfiche WebLink
�-�tRMIT APPLICATIVN <br /> CITY OF �VF_�c� PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- Ff1X 425-257-8857 <br /> SITE ADDRESS ' PARCEL TAX I.D.N PERMIT a <br /> � 9�� - l�a�rq a,�e � I���� mo3o�-03 <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS • „tQcefT aP PHONE <br /> 7�C� Stic i 7`N <br /> v�9/7 - pacta v/�2�u �/G� �8"�a3 �/�s �ic-933 <br /> TENANTNAME CONTACTNAME PMONE <br /> --- I 7� e S�.t �'� �las �io -��s3y <br /> CONTRACTOR ADDRESS LP CONTR.LICENSEM <br /> Eti��Y nc�v�'�5 � Q. Bo,r is 3E <br /> PHONE ,�d,� �//-Ll�cs!9 `�4� ��o`�S� �/UGSRG C�(` 9�'�/'(�f <br /> �as 39�-35 3� . <br /> PROPOSED USE OF BUILDING � Buiiding � Mechanical �Additlon MEAT SOURCE <br /> PERMIT Combination Plumbing WORK Alteratlon �Eiectric <br /> f"' / 7'� / 7ype Demolition Sign 7vPE New Gas <br /> j�� �,� fQltr i I !/L(/�/�fH Sprinkler(p ot heads) Repair/Meint. Other <br /> CONTRACT PRICE OF WORK a� � �CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � <br /> WORK DESCRIPTION <br /> �-P��4aP �,P'rs�ii� �Qs cr��v !'l2� 'l�G' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM N0. TYPE OF FlXTURE OR REM <br /> WATER CLOSET(TOILET) _ NC—A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY Z WAiER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIHEPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER ._. GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PROVISION OF ANY OTHER <br /> STATE OR LOCAL lAW REGULATING CONST CTION OR THE PERFOflMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNES OF THIS PROPERTY TO PE�ORM E WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT iAS LAW 827 RCI�i'!�N 286. AC. <br /> ' /� ��G — �� <br /> Sign ur Owner Co t cto Aut ed A Uate <br />