Laserfiche WebLink
' ` P RMIT APPLICATION <br /> i � <br /> ' �� CITY OF EVERETT PERMIT SERVICES <br /> i �7 32U0 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE AODRESS PARCEL TAX I.D.M PERMIT ri <br /> � 5o y vi�ToR I'� �F 5531 0� 8 vo ( oo Co3d7-co5 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER PHONE <br /> �. �,.��N � �Si�c� � �otSSv� �T�YPPC.�� i -tSQ_ l $3S <br /> �— CONTACTNAME � PHONE <br /> TEt+ANT NAME I I �t � � <br /> ly�z� s- /�� ��3��f� � �.> r ��o <br /> CONTRACTOR „�/� ��RCy/ GpNST, i ADORESS I�.. .•_i:l,i,fi Ci,;��Sii;UCiIOtJ ICONTR.LICENSE7t <br /> ' ' 2 �;;� Iil;;ii�APJQfiv[. (�✓Ac�1,.yc� 23ooN <br /> PHONE 2S t- � 4>� I r`. ^;��1 � �'i';���'I. � <br /> Buildin Mechanical Aadition HEAT SOURCE <br /> PROPOSED USE OF BUILDING � 9 � Electric <br /> PERMIT Combinalion � Plumbing WORK Alteration Gas <br /> 5i��� �A �� TYpE Demoli�ion Sign TYPE RepairlMaint. Other <br /> Sprinkler <br /> CONTRACT PRICE OF WORK 'Z U00 CITY OF EVEREl7 LOCAL 5ALES TAX CODE IS 3105 <br /> WJRK DESCRIPTION <br /> Ga�A7f� NFw �3A71d Ra� M iu �o��sT�� � S�,�v�7��yE <br /> PLUM8ING h1ECHANICAL <br /> N0. TYPE C�F FI%l'URF.OR ITEM NO. TYPE OF FIX�URE OR ITEM <br /> � WATER CLOSET _ A/C—WHANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> 1 I,AVATOFY(WASIi BASIN) HEAT PUMP <br /> 1 SHOWER _I UNIT NEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> � DISHWASHER _ FANGE HOOD <br /> LAUNDRY TRAY _ VJATER HEATER <br /> CLOTHES WASHER _ METAL FIREPIACF/STOVE <br /> FIREPLACE INSERT <br /> _ URINAL GASfIRFPLACE <br /> DFINK.ING FOUNTAIN GAS RANGE <br /> FLC'OR DRAIN GAS PIPING <br /> BACKFLOW PREVEN�ER 1 EXHAI�ST FA� <br /> II SINK(SERVICE/6AR/MOP.�ETC.1 OTHER_ <br /> I _ OTHER — <br /> II — -- — — <br /> I HEP.EBV CEFi i IFV THAT I HAVE READ AND EAAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. AlL <br /> � PPC`JISIGNS OF L1LY5 AYD OP.ICINACES GOVERNING ThPB TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIFO HEREIN OR <br /> ' NJ". THE GRANTING OF A PEPtdIT DOES NOT PFESUME TO GIVE AUTHOFIT'.'TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHEF <br /> S i FTE OR L4CAL LAVJ REGULATING CONSTRUC i ICN OR THE PEFFORMANCE OF CONSTHUCTION. THAT I AM1'AUTHORIZED BY THE <br /> ' OVJNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH'fHE STATE <br /> CONTRACTGRS LF'.Y 1827 RCW AND 296200 WAC. <br /> _.(n/�, �/,/7.�,�� � _ ti - 63 <br /> II, 4:`i.�nt .c� / Date <br /> � Signature of OwnedContractodAulnonzed Agen, 1/� <br />