Laserfiche WebLink
SRN-6-2006 11:43 FROM�PERMIT 4257756315 T0:?4252578857 P.6 <br /> �ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.A PEttM1T vD <br /> 3 !�i �arl� v/ 5�'0o cP � -o�� <br /> LEGA LOT NO. DLOCK TRACT <br /> DESC. <br /> NER ADDRESS ZIP PHONE <br /> �c�l�h � Le�e �-� 3 �� /��.►-� �� �v.e.r� �3 3�� ��d <br /> 7ENANT�NAME CONTACT FOR PERMfT PMONE <br /> � ,(��d�. y'zs 2�5 8�s� <br /> CONTR CT�O+R �l /� AD�RESS ZIP CONTR.LICENSE N <br /> PHW�U{'I ZJ�ILI��{� � � k� 4.J C.c�fS�J'fz'/�Jy7/Glg <br /> Zo(o �-B Z �cU g. � �'�9 <br /> PROPOSED USE OF BUILDING Building Mechanlcal I7 Addlllan HEAT SOURCE <br /> �� PERMIT R COITIbInaUoll Ufllblflg WORK K Allerallon �Eteddc <br /> TYPE Oemnlilion Sign TYPE �_� New Gas <br /> B Sprinkler Ll RepaldMaint. Oiher <br /> CONTRACT PRICE OF WORK I'7�� � CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> .� <br /> WORKDESCRIPTION ��� ��� ���� <br /> 9 � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> WATER CLOSET(TOILET) _ AIC—A/HA.NDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SfiOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> OISHWASHER RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER METAL FIRePLACElSTOVE <br /> URINAL FIREPIACE INSERT <br /> DRINI<ING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKF�OW PREVENTER � GAS PIPING <br /> SINK(SERVICEIBAR/A10PIETCJ _ EXHAUST FAN <br /> OTHER ___ __ _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE RF�1D AND EXAA7INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IA1VS AND ORIDINACES GOVERNING THIS TYPE OF 1VORK WILL BE COMPUED WIiM WNETHER SPEGIFIED HEREIN OF2 <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOG1L LAW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCiION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK fOR WHICH APPLICATION IG MADE NJ�I COMPLY WITH TME STATE <br /> CONT CTORS LA .27 RCIN AN�296.20 <br /> (�bc,c�a_ ; � I LP _C� <br /> Si at re of OwnadContracror A rizeG Agent Date � <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />