Laserfiche WebLink
MRY-3-2004 08:48 FROM: T�:14252578857 P.2 <br /> i � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.tl PERMI7 N <br /> 3 ' 7 R-k D�� oa ��o z So/ rn c��o s-o�2. <br /> LEGAL LOT NO. BLOCK TRACT <br /> OESC. <br /> OWNER . AD S LP PMONE <br /> /l/lorrt sw� �3z � �� (�- �c%�f �� / S�LJ"3s3 3s"�7' <br /> TENANTNAME � I CONTACTFORPkRMR PHONE <br /> CO�TOR� � (� _.. / ADDRES_S � � rP CONTR.LICENSEM <br /> � �q dci v �¢ <br /> ,/ yy� � `�� (.c��SK/�('9�/a /J <br /> PH NE -� G'L �?Q� �CX�(J C� �'J '7 <br /> �-'0 <br /> PROP09ED U9E OF BUILDINO Bulldinp Mechenicel I Additian HEAT SOURCE <br /> PERMIT e Coinbinalion Pltr�bing WORK � Allerallon ��ctric <br /> TYPE D D@molitlon Slgn TYPE New <br /> S � �, SprinWOr RePdNM�lnt Othet <br /> CONTRACT PRICE OF WORK �I�' � � CRV OF EVERETf LUCAL SALES TAX CODE IS 7105 <br /> WORKDESCRIPTION , I ,Q/„ ��A_ n � �a J, L /i �r�4(� <br /> (ilJ 'l'E,t� Y�Y K. —r�c <br /> C�- � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(7URE QR REM N0. 1YPE OF FIXTURE OR ITEM <br /> WATER CLOSK"f(TOIL[T) AIC-AIHANDLING UNITS � <br /> BATHTUB � FORCEDAIRSYSTEMS �O�t�jO 67FG � <br /> LAVATORY(WA;H BASIN) _ HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER FtANUE HOOD <br /> LAUNDRY TRAY � W�.TER HEATER <br /> CLOTHES WASHER _ METAL FIREPIACE/STOVE <br /> URINAL _ fIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPIACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOPIETC.) EXHAUST FAN <br /> OTHER _ OTHER <br /> V FY THAT I HAVE READ AND EXAMiNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL — I <br /> I HEREB CERITI <br /> PROVISIONS OF LAWS AND ORIDINACES GOVEF2NING THIS TYPE OF WORK WILL BE COMPlIEO WITH WHETHER SPECIFIED HEREIN OR I <br /> NOT. THE GRANTING OF A PERAIIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR('.!NCEL THE PROVISION OF ANY OTHER <br /> OWNER OF�HIS PROPERTY OTPERFORM THE WORK FOR WHICH APPLMI ATON IS�MADE AND 1 COMPLY WITH THE STATEA BY THE <br /> CONT TORS LAW 1tl. CW AND 296.200 WAC. <br /> Sign re f Owner onvac odAuthonze gent _/ � Date � �` � " �7� ��" <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />