Laserfiche WebLink
Jan-10-11 09:39A <br />� _ . .—_..._ — --� - <br />I <br />as� <br />PERMIT AP{'LICATION <br />C{TY OF EVERETT F�ERMIT SERVICES <br />320G CEDAR STREET, EVERETT, WA 98201 <br />425-257-8910 – FAX a25-257-8857 – wv�nv.evereitwa.org <br />APPLICATIONS ARE ACCEF'TEp FROM e AM TO 4 PM � /O <br />P.OI <br />SITE ADDRESS PAR(:EL TAX I.D. # PERMIT # <br />ZS/� _ C{�h/P� �G/� II�:1_I.lpl-D12 <br />���;a�l LpT NO. TI BLOCK TRACT OR SUbDIVI510N M <br />utSC:.� __..I... .._— � .. .. <br />OWN[Ft AUbRE55 CITYIZIP FFIONE <br />����� "- _z,s �` ,�� s�o�- ����-a �3 y <br />� .�«�ks�a" iz ,�,n,��,=_�.� <br />TENAN7NAME I CONTACTFOF:PERMIT PHONE <br />E•MAIL <br />.... ..."'---AODRE55 --...... CI1Y/ZIP PHONE <br />GONTFiQjCTOR� < /� �../� !, � n 1 /�. <br />�y /Iln /llt� `Jr! /�s 9C J''i'�i t V �G� � L i/�iVl�% /Jr-C 7 2 —%S/ � — / <br />GONTR U ENSC• # a s / <br />�YG����`�zK2 _. �v"''�` i8z.� __.... <br />USE OF sUiLDI1dG I HEP,7 SOURCE I CONTRACT PRice OF WORK <br />�J q5c r <br />�P<� � tleclric XGas _ otnor ,/�.. O r/ y <br />J. __.... � -- <br />.._ _.. _. _........-- <br />WORK DESLRIP710N <br />/r,c <br />�� A[L� 0�` �I^YIALt_ <br />--- PLUMBING -- ._._ <br />TYPE OF FIXTURE OR ITEM <br />TOdei <br />8�thlub <br />L:fvuWrl' (wa5h hi::�n) <br />S!wwr� <br />Kildien snA R Aispnrnl <br />UiShw�.her <br />GIO(hr.s v:;�shei <br />Wdter hr.2tnr <br />:iink (servicelbai/inuplelr,.) <br />packllrnv preventei <br />Urinal <br />Druikmc� Founlain <br />Flour dr.iin <br />Gre8s0 1i �p <br />FUu1 drai��s <br />UlhJf ,_ _ <br />... ._ . <br />MECHANICAL <br />N0. I TYPE OF FIXTURE OR I1�tM17 <br />A/C — alr handliny unil; <br />Forced air systoms <br />Ga� pipin�7 <br />W ater heator <br />G25 fireplaco <br />Gas range <br />Glqthea dryer <br />R�nfle hood <br />Exheustf3n <br />Hoal pump <br />Unit hcatcr <br />BOiIOf <br />I:elrigoration <br />Woodstovo <br />Other <br />� ' ..._ ... _. ......-- -- --. _ . . . ... <br />I CITY OF EVEftETT LOCAI- SALES TAX CO�fl 19 J105 <br />�'II hei�Uy C[fility thaf I hnvt� rr.ad ❑nd examined this applicalinn nnd knaw Ihe same tu be Irue and cormr.t. nu provisions of I.,ws nnd <br />ordm;�r.c^; guveiniug IhiS lypo o� �vork will be wmplled wit� whotho� spr.cifiud harein or noL The przntinp of ,i pormil does nul yreaume <br />to pivrr �ulhonty lu viulale or c?nr.r+l thn provisiun of any oll�.e� 5131e of Incal law reyu�aUny cmislrucGon or thn pndormanr.0 o( <br />� _vn5irur,tinn. l nut I um aulhorizn�7 liy thr, ownr,r ol this proyerly to �eitorm lhc work (or which applicalion is madt: �nA 1 comply wilh lhe <br />iStatr. C'nntructurs L.+�v 16. 7 RC6N �nd'1JU.2Q0 �VAC. <br />-����`.,, �"r��-- /--�o- // <br />'I Si�n:�h � n� . n:i� �rc:r�nir:,r.torlAuthorizcd Apenl J� Date <br />