Laserfiche WebLink
� ERMIT �1PPLICAI .JN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAF STREET, EVERETf, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> ..�4z 7 .�D� / .sP-43-4� <br /> SITE AODRESS PARCEL TAX I.O.q PERMIT x <br /> �a. ' ."� O/4 � C��d9 -D <br /> LEGA LOTNO. LOCK TRACT,J�� ,Q S <br /> � <br /> DES4 � � _ 3 _ <br /> OWNER ADDRESS LP p}{ON;-3��� <br /> �� �K�� -��1-2�5�� �;Q, �� 2Z %l L�U, !�//r� 9��p� `!: <br /> TENANTNAME I CONTACTNAME pHONE <br /> S �os'-3v3-S93 <br /> Cl)NTnACTOR ADDRES LP CONTR.LICENSE M <br /> J��� �;�,�,� ,B�z Z�ti�d. ,� �03 J e s��io &�,� <br /> PHONE L/�� '� �r h�� <br /> / <br /> PROPOSEOUSEOFBUILDING I rva-�-uildi�g � Mechanical I Adtlition I HEATSOURCE <br /> S�` n PERMIT � ) Gombination Plumbing WORK �Ileration (t-�Electric <br /> �� l"!PE � Demolilion Sign TYPE ew � Gas <br /> � � Sprinkfer Repah/Maint. Other <br /> CONTRACT PRICE OF WORK //)r(�'70 ^ CITY OF EVERETT LOCAL SALES TA%CO�E IS 3105 <br /> !/tJ / <br /> WORK DESCRIP ION � J • <br /> �i'� /t�i�- — Q.Q�-G 2�/l0 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUPE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET A/C-AlHANDLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � � K�TCHEN SINK 8 DISPOSAI. ,� CLOTHES DRYER <br /> i ,� DISHWASHER / HANGE HOOD <br /> LAUNDFiY TPAY —'� WATER HEATER <br /> L CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAI. FIREPLACE INSERT <br /> i _ DRINKING FOUNTAIN . GAS FIREPLACE <br /> FLOOR DFAIN GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> SIfdK (SERVICE/BAF/MOP/ETC.) � EXHAUST FAN <br /> OTHEA OTHER <br /> I HEFEBY CERITIFI THA71 HAVE READ ANG EXAMINED THIS APPLICATION AND KNOW THE SAA1E TO BE TRUE ANO CORREGT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE GOMPLIE^�.VITH WHETHER SPECIFIED HEREIN OFi <br /> NOT. THE GRANTING OF A PERIdIT DOES NOT PRESU�dE TO GIVE AUTHORITY TO VIOLITF -� '��EL TNE PPOVISION OF ANV OTHER <br /> STATe OR LOCAL LAW EGUWTING CO�JSTRUCTION OR THE PERFORMANCE OF CONS i�- . THAT I AM AUTHOfiIZED BY THE <br /> OWNER CF THIS PFO N TO PERFORM THE WORK FOR WHICH APPUCATION IS h1A0E �MPLY WITH THE STATE <br /> CONTRACTOFS W W B.2 CW AND 296.200 WAC. <br /> .. 9!��-- <br /> Si o euContr iouAuthor Ageni Date <br /> 'IL) <br />