Laserfiche WebLink
JUN-5-2006 10:07 FP.OPI:PERh1IT 4257756315 T0:14252578857 P. 1 <br /> P�RMIT APPLICATIGN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# pERM1T tt <br /> 1 �,�e �P� C�S�75 9�d'Od �� (���. -� <br /> LEGA LOTNO. B�OCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> IUaYol�c.r fi—�, c� c �� K'����''�ue 9,F� 1 `��z.S�t/y��v_ <br /> TENANT-NAME CONTACT FOR PERMIT PHONE <br /> �,fu-� � ,C-!/1d�- yZS 2��- 8 '�t�� <br /> CONTR CTOR AD�RESS ZIP CONTR.LICENSE# <br /> w��,N �r��r� �-rv'1 LQJ-y� Cc�J'flr�J9��eq,� <br /> PHONE G�(/�c� // [!ll�l�l k`P. �� <br /> �� LS`L y�� ����_ '� ��y y <br /> PROPOSED USE OF E3U�LDING I� Building f�Mechanical I Addilion I HEAT SOURCE <br /> I PERM17IT K Combination �_��lumbing WORK R{-( AlleraUon Electric <br /> f�/� 7YPE �__( Demolition LJ Slgn TYPE G./_fdew �Gas <br /> J /� LJ Sp�InMe� .PS�RepalrRdaint. Olher <br /> CONTRACT PRICE OF WORK ^ CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> L <br /> WORK DESCRIPTION ! Q p ����� <br /> SCtJ �,(J�t..� I l� �p' C <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FIXTURE OR ITEA7 NO._ TYPE OF FIXTURE OR ITEt�1 <br /> WATER CLOSET(TOILET) _ A/C-PJHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BnSIN) _ IiEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK 8 DISPOSAL C�OTHES DRYER <br /> DISI iWASHER RANGE HOOD <br /> LAUNDRY TR�Y � WAl ER HF�TER <br /> CLOTHES WASHER METAL FIREPLACE/S!OVE <br /> URIN�L FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLr10E <br /> FLOOR DRAIN GAS RAN�E <br /> ,BACI(FLOW PFEVGNTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> i <br /> � I HEREOY CERITIFY THAT I HAVE READ AND EXARIINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. AlL <br /> FROVISIONS OF LAWS aND OPoDINAfES GOVERNiNG THIS TVPF OF IVORK WILL BE COk1PLIED WITH WHETHER SPEGFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERAIIT DOES NOT PRESU6fE TO GIVE AUTHORIN TO VIOLATE OR CANCEL 7HE PRUVISION OF ANY OTHER <br /> STATE OR IOCAL LAW ftEGULATING CONSTRUC110N OR THE PERFORIdANCE O�CONSTRUCTION. THAT I Atd AU7HOR12FD BV THE <br /> OWNER OF THIS PFOPERTY TO PERFORId THE WORK FOR!'JHICH iaPPUCATION IS M1'IA�E AND I COAIPLY WI7H THE STATE <br /> CONTR CTORS LH 9 2� RCW AND 296.20D � � _/O� <br /> SL <br /> G2c�� �� � r C - <br /> Si at re of Owner/Conlractor/A i rizeA Ageni Date <br /> DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />