Laserfiche WebLink
It I _. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMI i SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� U <br />A25-257-8810 - FXX 425-257-8857 \I <br />SITE ADDRESS 313 1 N A : SAV 57R[F'(- PARCEL TAX I.D. # / P RMIT # <br />6vr,RcrT w� ir-C A77ACHjgE ' <br />LEGAL LOT NO. BLOCK TRACT �. <br />DESC. ' 77A G H k-l) <br />OWNER ADDRESS 4 0 Z 7 /1 0 Y l A(/E ZIP PHONE <br />CSC.-T PRoPER71E5 Lc-O- •4zS-33L%-fi88' <br />50 17E 104 y8 Zo/ <br />TENANTNAME <br />LLT (%jZOpCDt TIE5 LLC- <br />I CONTACT FOR PERMIT <br />PHONE <br />AHkLt 11=06T <br />GLrW'c 0;` <br />ZTMC5 RAPTrS,AacHrTv-i <br />`0E -71SS- V :5 9 'z- <br />�11 2n TT <br />SALMOM PAV" Oc5i4N gP-cu� <br />CONTRACTOR <br />d <br />LCOkjC4 lfL- bl-C, INS- <br />ADDRESS /01?, w BovNC AjVE <br />ZIP CONTR. LICENSE# <br />L.6oNrr-K1005 <br />Ton hcRcl`vL <br />SPO �A NE (.t%A <br />G �I <br />PHONE <br />Soy - 3 z7 - q-15/ <br />/`JZU/ <br />_ <br />PROPOSED USE OF BUILDING <br />Building <br />fr1 Mechanical <br />Addition <br />HEAT SOURCE <br />M��(C'-AL <br />OFFt2l DLN <br />PERMIT <br />Combination <br />P <br />}LWcY/(, Plumbing <br />WORK <br />Aflcration <br />P <br />Electric <br />TYPE <br />Demolition <br />Sign <br />TYPE <br />New <br />Gas <br />Sprinkler <br />Repair/Maint. I Other <br />CONTRACT PRICE OF WORK It !)b.y -)) 4- I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORKDESCRIPTION �'pN 5-rj L�c.T-1G� O� NGW 312CO 5F /Yl6(�I L/1L LL/N!C- "T„ <br />OPcIV PAr-I<iNS UNDER 1 op,�1ON OP BUILD/Itiq E PARt<IN y LCT yeti <br />A-101Ac OF 37 Si'nci[-5. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />— <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER 4 Ti_OnF DRAtNs <br />5 t wrk PLCw D RAIN < <br />U <br />A/C -AHANDLIN ;UNITS <br />FORCED AIR SY:'TEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACETOVE <br />FIREPLACE INzSEHi <br />GAS GIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER_ <br />_L <br />I <br />_ <br />_ <br />2 <br />a <br />—L <br />_(g <br />10 <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TU BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN GR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY _` ',/IOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. Ll <br />p fL <br />Z <br />i�+.•>---cam- i <br />gnature of Owner/Co tractor/Authorized Agent D^te <br />�( )� <br />GEeIT 8 CF' "T CARDS ARE NCT ACCEPTED � <br />