Laserfiche WebLink
AUG-22-2005 10:35 FROM: TC:14252578957 P.2 <br />PERMIT APPLICATIO <br />CITY OF EVERETT PERMIT SERV ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 — FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. N PERMIT n <br />3S0'- 1� (�i_ iZ ODVY3E1 dpLir <br />LEGA LOT NO. BLOCK TRACT <br />I <br />DESC <br />OWNER ADDRESS ZIP PHONE <br />`3ern ( 4-Lip -Roc kc4c l 1pr yi 1 `&rz-a z2ti <br />TENANT NAME CONTACT FOR PERMITI PHONE <br />7 <br />ON CTOR ADDRESS i ZIP CONTR. LICENSE X <br />C <br />wT"931 f CZIW431�4rp���W l Jyr�s9�i cog <br />PHZQIO Z,6 2— <br />PROPOSED USE OF BUILDING r1 Building Mochanical ilk <br />t Addition HEAT SOURCE <br />PERMIT Combination I{tv�C Plumbing WORKIIIILR1 Alteration Electric <br />TYPE Demolition LI Sign TYPE j L-j New Gas <br />v , " Sprinkler L� RopoldMaint. UUU Olhcr <br />CONTRACT PRICE OF WORK '7 _ t P I CITY OF EVERETI OCAL SALES TAX CODE 15 3105 <br />WORK DESCRIPTION C�III� �j ��q <br />(� l�Le IzQ ��rtCE' tf �� I ! f ;,,,I�J <br />PLUMBING - II MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />II <br />_ WATER CLOSET (TOILET) FVC - 4'HAND 'NG UNITS <br />BATHTUB FORCED AIR STERNS <br />LAVATORY (WASH BASIN) HEAT PUMP <br />SHOWER UNIT HEATER <br />_ KITCHEN SINK & DISPOSAL CLOTHES DR R <br />_ DISHWASHER RANGE HOO <br />_ LAUNDRY TRAY WATER HEAT <br />_ CLOTHES WASHER METAL FIREP CE/STOVE <br />_ URINAL FIREPLACE It ERT <br />—I DRINKING FOUNTAIN = GAS FIREPLA <br />FLOOR DRAIN GAS RANGE <br />BACKFLOW PREVENTER GAS PIPING <br />_ SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAO <br />OTHER OTHER— I <br />— <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME Y10 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CA EL 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 C PLY WITH THE STATE <br />COKT CTTORSS LA .27 RCW AND 296.201) . <br />v l�'Lti . V� 65 <br />SI at re o Owner/ ontractorrn rued Agent Date ,l <br />DEBIT & CREDIT CARDS ARE NOT ACCENTL <br />