Laserfiche WebLink
JAN-16-02 WED 12;58 PM ( '/ERETT PERMIT SERVICES FAX NO. �� i 257 8857 P, 02 <br /> I '"-�� PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> �-- 9200 CEDAR STRE�T, EVERE7T, INA 98201, A25-257-8810 <br /> I SITE AooRESs pqRCEL TAX I.D.� PEAMIT rt ,�e� <br /> � �J �c� Lll/��CT/y70RL G� (�p2(�-O3V <br /> LECAL LOTNO. BLOCK THACT <br /> I DESC. � —�^^� <br /> � OWNGH ; ADDRESS PHONB <br /> ����'- �h�c rsa E�F��; �s��.s c,�r�Ern,�,��. ��� � � (ya`� i <br /> �. C��,��-�-r 9��� : 3.1�3- 1'/'7a- <br /> I 7ENANTNAME i CONTACTNAME PNONE <br /> i <br /> 1�>f�� ���� �� ���.� < ,�. - • ��� <br /> CONTRACTOR i ADDRESS CONTR.UCENBE/ <br /> i�C.`;�ti� 1ti:�1�,✓ 1�ca�-c�5 G�a I 1�ic I 12 ��y ti� �Lyri'�T#�l'� <br /> PHONE � � �tiiLG ' YiS`I� � ! ��1�4�1�.��-(_. W ' I ��Q 5`� i�GT-�ewff07ti�l� <br /> PpOPOSE�USE OF 9UIl.DING � 6uildiny �echonlcal qadmon HEAT SOUflCR <br /> PERMIT R Combinatioo Plumbing WORK R n�mration Q_Eiecub � <br /> ,5 � �Jlr. �C��ry��/ TYPE �] Demoliiion Sign TYPE � New +�Ga: � <br /> I _—� ( U Sprinkler RepeiuMainL lJ OV1ar <br /> � CONTRACT PFICE OF W ORK �SJ f�.T CIiY OF EVEAE7T LOCAL 6ALE6 TAX COD!Is ft06 � <br /> � <br /> WURK DESCRIPTION { <br /> f� �l >z L �f�S � ..�.�-r� �C��c✓ <br /> �5'7Rra�U� R�p�•-x,�,-,,c <br /> � �l�M}�G MECHANICAL <br /> INtl. TYPE OF FI%TURE Ofl ITEId N0. TYPE OF FUCTURE OR ITEM <br /> � ___. 1VA'fkfiCIOSET � A/C-WHANOLINf3UNITS <br /> I _ E3FTI ITU[i _ FORCED AIR SYSTEMS <br /> _ IAVATOFY(WASH BASIN) _ HEAT PUMP <br /> SHC�4YER _ UNIT HEATERS <br /> � _ I:ITCHEN SINK 8 UISf'OSAL _ CLOTHES DRYER <br /> I __ OISHvlAShiER .T. RANGE HOOD - <br /> _ L.AL'NDFY TRAY <br /> I -� � WATtR HEAI'ER <br /> � ___ CLOTtiGSWASHEF ,_. METALFIREPLACE/STOVE <br /> . � == UN4V,4L = FIREPLACE INSER7 <br /> . URINiQNG FOU?1TAIN GAS FIREPLACE <br /> _ FLOOR UFlAIN GAS RANGE <br /> i _ E3ACKfLGW PREV�N7fR � GAS PIPING <br /> _ SIIvK(SERVICF7DA(VA10p/ETC.) ,,,, EXHAUST FAN <br /> -- OTHG(i___........_._.-. OTHER <br /> I Y�EFEl3'/CCR.iTiFY TNAT 1 FIAV�FFAO A�0 E%AIdWEO THIS,�PPLICA710N AND KN01V THE SAME TO BETRUE AND COflflECT. A4l <br /> NF70VI:.IOWS OF 4AWS AND ORIDINACES GOV6HNING TIIIS Tl'PE OF WOHK WIIL 9E COMPLIED WITH WHETMEfl 6PECIFlED MEflFJN OR <br /> NOT. 7'i1E GflqNTlh�i OF A PFIiY11�pOES NO7 PRESUME TO GIVE AUTHORIiY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> iTATL'�:iR LOCAL LA1Y RCGUL4TING CONSTRUCTICN OR THE PERFOFMANCE OF CONSTRUCTION. TMAT I AM AUTHORRED BY THE <br /> OiiNF.H 0;THIS i•f10f EFiTYTO PLRFOFM TME�VOHN FUR WNICH APPLICATION IS MADEAND I COMPIY WITM THE STATE <br /> CJNTRACTOfiS UW I li. � CW AYD 256^.00\4AC. <br /> �' ���� � -�-�f �/�- <br /> Sign�hrtc of �dCaNroctodAuthorize�d Agcnl palo <br /> L_ __..... .....__ .........__ . <br /> / ��/ I <br /> ��., _..-- <br />