Laserfiche WebLink
MqY-12-2004 09:53 FROM: TOc14252578857 P.1 <br /> t { <br /> PERMIT APPLICATION <br /> ClTY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.N E MI7 M <br /> �ios rVl ie Do�3P-�zZ7oo a �bS o <br /> LEG LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AO�RE55 ZIP PMONE <br /> /�f B�4K��2 1 los R�IAp�� rf �'v�-ac� Sy� i Yas� zs�, coqs�_ <br /> TENANTNAME I /JW[ JlCCR�R^ ,I_ /�r �C0 �2Y[K/ — <br /> L �C( 4k �10fL <br /> C0�A��l�t� �� r„��� AODRESS � ZIP CONTR.LICENSEI� <br /> irs� �_ <br /> PHONE �•e <br /> z 2 z�2x�`7�� �. lQ l,t�.4��11e197��6 <br /> PROPOSEDUSEOFBUILDING BUikling MechBnical Additlon NEATSWRCE <br /> PERMIT RCombination lumbing WORK Altentlon Q�Electric <br /> S � TYPE B Demolilion Sign TYPE New ,I'� Gas <br /> � Q Sprinkler RepaiNMalnt. I U OIhN <br /> CONTRACT PRICE OF WORK /AbO� — GITY OF EVERETT LOCAL SALES TAl(CODE IS 7105 <br /> L <br /> WORK DESCRIPTION �aS � �� r . , ! A,,�_/, `/Q x <br /> J �i�. .�'�I� ��-iK�.T`f C./'L ��j <br /> PI.UMBINf3 MECHANICAL <br /> N0. TYPE OF flXTURE OR fTEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(fOILEn A!C–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 /> _ LAUNDRYTR,4Y � WATERHEATER <br /> CLOTHES WASHER R7ETAL FIREPLACE/STOVE <br /> URINAI FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR ORAIN GAS RANGE <br /> BACKFLOW PREVENTER WS PIPING <br /> SINK(SERVICEIBARIMOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I NEREBY CERITIFY TMAT 1 MAVE READ ANO EXAMINED TMIS APPLICATION AND KNOW TME SAME TO BE TRl1E AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVCRNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <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 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERPORM THE WORK FOR WHICH APPLICATION IS�MDE AND 1 COMPLY WITH THE STATE <br /> CONTRA RS LAW . RCW AND 29 . AC. /., / <br /> Sign re fOwnerlContractorlAu zetlAgent �/ ate� y� 776 3�06 <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTEO <br />