Laserfiche WebLink
�CRMIT APPLICATI�N � � <br /> CITY OF EVERETT PERMIT SERVICES `�j <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 3Z l-/��1 � 5 (`e.2 oov3b' 7z�B� aoz Bn3o�-o � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS 21P PHONE <br /> ��a l`� � �o� ��� l4•3 Z I'�n��25�r�' /��'��/��2r��3�7-0537 <br /> TENANT N E CONTACT FOR PER PHONE <br /> 2�, I ,� d, ��—(—}—�� � � ��l ,p� �� ���') -3z � —0 53�7 <br /> CONTRACT R ADDRESS ZIP CONTR.LICENSE# <br /> PHONE <br /> PROPOSED USE OF BUILDING Building fl Mechanical Addition HEAT SOURCE <br /> PERMIT R Combination F_� Plumbing WORK R Alteratlon (� ElecVic <br /> TYPE D Demolition �� Sign TYPE D ri�.W � Gas <br /> U Sprinkler �, Repair/Maint. , Other <br /> CONTRACT PRICE OF WORK /� pp -- CITY OF EVERETT LOCAL SALES TIU(CO�E IS 3705 <br /> !00 <br /> WORK DESCRIPTION <br /> To cw r (d �, £3' k �� ' l�ecic <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) AIC—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNORY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> II HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TH�SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORI�INACES GOVERNING THIS.7YPE OF WORK WI�L BE COA^,PLIED WITH WHETHER SPECIf:ED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE 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 ERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> C��ACT S LA 1027 RC A D 2 .2 0 WA� . <br /> � � 50 0� <br /> Signature of ner/ContrectodAuthonze Ag t Date <br /> DEB 8 CREDIT CARDS ARE NOT ACCEPTED /L <br />