Laserfiche WebLink
P�RMIT APPLICATIC�N � <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS r� � PARCEL TAX I.D.N PERMiT a <br /> �:/ � 3 I�Jw,tC.. fJ,l,Lv�-c, po ��l 7�a goo zoo• Qo3o6-G'� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. Z �o$ b -a o <br /> OWNE AOORESS PHONE <br /> -L 1Y�v c/GD� ��� �� 7 a?� Ar�s w ��v 2� �{zS, �'7-3f 6 <br /> TE ANTHAME CON ACTFORPERMIT PHONE <br /> � � .�I}�<�Co �r (_� �)�;35�-��0 <br /> CONTR4CTOR / ADDRESS ZIP CONTR.LICENSE R <br /> PHONE <br /> N A � c�� �-ri o � � tz��t2 <br /> PROPOSED USE OF BUILDING Building Mechanical AddiGon HEAT SOURCE <br /> `. PERMIT Combination R�j Plumbing WORK Alleration Q ElecVic <br /> )�� TYPE �Demolition �J Sign TYPE �New I �j Gas <br /> Sprinkler RepaidMaint. U OMer <br /> CONTRACT PRICE OF WORK G�7 CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> _ ` � U(/� I <br /> WORK DFSCRIPTION <br /> C�,�-.-7� l,v-+�-.�o�-� C�.,�.,. z.,_'. — �y�'-o, <br /> — 5 e.e �fL. (Gc..� o u.-�— <br /> PLUMBING MECHAWICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO.. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> C�OTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS F�REPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> � <br /> I HEREBY CERITIFY THAT I HAVE READ AND EkAMINED THIS APPLICATION AtJD KNOW THE SAME TO BE TRUE AND CURRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WiLL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NO'. THC GRANTINGII�Ap�MIT�OFS NOT PRESUME TO GIVE AUTHORIN TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br /> STH7E O LOCAL LAW R GTJLAT�idG CCWSTRUCTION OR THE PERFORMANCE CF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER F THIS P OP o�p�Y TO P�RFORM THE WORK FOR WHICH APPLICATION IS MADE A�:J I COMPLY WITH THE STATE <br /> COP�T T RS W 8.27 RCW A�1D 296.200 WAC. <br /> �� G � o <br /> --�3f" �at re �� wn r o tracto Authonzed Agent te `�L <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />