Laserfiche WebLink
� cRMIT APPLICATf�JN ' <br /> CITi( OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, \NA 98201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.li PERMIT• <br /> fo7! � W �o" - d - -DG Dd3oa <br /> LEGA LOT N0. BLOC �A�T <br /> DESC. � , <br /> OWNER ADDRESS LP PMONE <br /> �Gv�� 1..�, �-S� •.✓ la7�I Was� 'K�en Wa� 9f>2o�/ - �/2S-Z�S=9�' 2 <br /> TENANTNAME <br /> CONTACTNAME PHONE <br /> �G h e- <br /> CONTRACTOR ADDRESS 21P CONTR.IJCENSE M <br /> sa.�-�� <br /> PHONE �S <br /> G iro�e✓ <br /> PROPOSED USE OF BUILDING Building Mechanicai Additbn I HEAT S�UBRnE <br /> PERMIT �Combination � Plumbing IWORK � Atteratbn � Ges <br /> I TYpE Demolilion Sign TMPE RepaidMalnt. Other <br /> Sprinkler <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL S!LES TAX COOE IS 5105 <br /> WORKDESCRIPTON �..iC 1'�GCJS` �-� <br /> j�w�6 G�o-�5 �j,— '�...-�;( 1Zoo�-+'1 -� <br /> /Cc�v�ov�_ Sl��" � `1 j�� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF Fl7CTURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> WATERCLOSET _. A/C–AIHANDLINGUNITS <br /> — FORCED AIR SYSTEMS <br /> _ BA�HTUB HEAT PUMP <br /> _ LAVATORY (WASH BASIN) UNIT HEATERS <br /> _ SHOWER � CLOTHES DRYER <br /> _ KITCHEN SINK 8 DISPO..AL RANGE HOOD <br /> _ DISHWASHER WATER HEATER <br /> _ LAUNDRY TFAY METAL FIREPLACE'STOVE <br /> _ CLOTHES WASHER FIREPLACEINSERT <br /> _ URINAL GAS FIREPLACE <br /> I = DRINKING FOUNTAIN � _ GAS RANGE <br /> FLOOR DRAIN GAS PIPING <br /> _ BACKFLOW PREVENTER EXHAUST FAN <br /> _ SINK(SERVICE/BAR/MOP/ETC.) — OTHER <br /> _ OTHER —' <br /> _ -I — <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNO'N THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GCVERNING THIS NPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> ST�ATE OR LOCPL ILAW REGUTATING C�ONSTFlUCT ON OR T�E PERFORMAN E OF CONS CT ON.CTHAT I AM AUTHIORI ED BY HTE ER <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �(�i�6i��LAW 18.27 RC AND 296.200 WAC. �//�/�� <br /> C <br /> SignaWre of O.vnedCoNracrodAuthonzed gent ate <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />