Laserfiche WebLink
PL�.�iMIT APPLICATICS�J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-E_57 <br /> S�TE ADDRESS pARCEL TAX I.D.� PERMiT� I <br /> 2 c�� e �.�w.� �t/� X U,ZO?•� <br /> LEGA LOTNO. BLOCK 7qACT <br /> DESC. ' <br /> OWNER ADDRESS ' <br /> 21P PHONE <br /> (�L�C�!� ��,6LcC� .� �L./ <br /> i <br /> TENANTNAME I CONTACTNAME PHONE <br /> Cjn6�eJniS�` b✓n�'J i 'eGr;h, �hiCJn l/�/t'e �7G�.�D -� 6.�3 <br /> CONTRACTOR / ��¢ ' <br /> (� ADORESS LP CONTR.UCEN81c� <br /> CJo��2' N��,...��r� lnc� '� (•`L�1ZY o/Q 5.��- /Ke..ro¢ !,(..ni (.Jo ��eP��- <br /> PH9 NE �jrt a �.�m !lj1� (.��1�, "'I f6290 , <br /> (�c-o�sU s- 4G s� <br /> i <br /> PROPOSED USE OF BUILDING I Building Mechenicel AdOIGon MEAT 6pyRCE <br /> PERMIT B Combinelion Plumbing WORK Aileretbn f Eta�,yric <br /> TVGE B Demali�ion �Sign TYpE �New r.� p�y <br /> Sprinkler L� RapeiNMaint. � OIMr <br /> CONTRACT PHICE OF WOqK /'GOO` CITY OF EVERETT LOCAL SALES 7AX CODE I!i 010i <br /> WORK DESCA�PTION ' <br /> R-� � s„s� N ���� � R��r. s;.,[� W : �. <br /> , ., S �- �i� r- U�&� c � �,. ,� r-(�,., t. <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF Fl3(TURE OR ITEM NO. TYPE CF FlI(TURE l,.i fTEM <br /> _ WATER CLOSET _ q/C—A/HANDLING UNITS <br /> _ BATHTUB _ FCIiCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHW.4SHER RANGE HOOD <br /> _ L4UNDRY TRAY bZ WATER HEATER <br /> 1 = CLOTHES WASHER _ METAL FIREPIACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ 6AS FIFEPLACE <br /> � _ FLOOR DRAIN _ GAS RANGE <br /> � BACKFLOW PR TER _ GAS PIPING <br /> _� SINK(SERV�C BA OP/ETC.) _ EXHAUST FAN <br /> I = OTHER _ OTHEF <br /> I _ — <br /> � — <br /> I <br /> '�� I HEREBV CERI7IFY'HAT I HAVE READ�'ND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL 8E COMPLI:D WITH WHETMER SPECIFIED HEREIP OR <br /> ' NOT. THE GRANTIhG OF A PEPMIT D S NOT PRESUME TO GIVE AUTNORITY TO VIOIATE OR CANCEL TME PROVISION OF ANV O f MEP <br /> STATE OR LOCAL lA REGULATING ONSTPUCTION OR TME PERFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHORI2ED BV TH4' <br /> . OWNER OF THIS PRO ERTY O PE ORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITM THE STATE <br /> i CONT AC RS W 0. 7 R W A 296200 WpC, <br /> I <br /> Signature wner/Conlractor/ uthonzed Agent ate <br />