Laserfiche WebLink
P�.�MIT APPLICATIG.J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-d810- FAX 425-257-8857 <br /> A // <br /> SI�DDRESS uN PARCtL TAX I.D.• PERMtT k <br /> �'i ETi��t� � (7 O - z3 - s v 2-D Z <br /> LEGA LOiNO� BLOCK �T, ,ACT " �� <br /> DESC. 5�i Li Z3 /[ � �G�'Ip-/✓ � �Z <br /> OWNER ADDRESS LP pMONE <br /> !'t� �"S��f/r/�<IL� <br /> TENANTNAM I CONTACTNAME PHONE <br /> ���, ��,�� y2.�.�s�-��,3 <br /> CONTRAC�TOp � � � ADDRE 21P CONTR.LICENSE� <br /> �-J���/7 /✓��'1a ��Y�G� .17aL � �TS�7L iSl/DrJh/�e6/G� <br /> PHONE /s'fr37 i.s2- h�J�,�/� !t/ooi'.a�J�lE.- <br /> �2s= S`D '' fs7UU C'czc1G6-P a � <br /> PROPOSED USE OF BU!LDING p.Building I") Mechenical Adtlition HEAT SOURCE <br /> PERMI?'�F� Combination �_� Plumbing WORK B Alteratbn ectric <br /> �i �%�.L T�'"� I..1 DemoliUon Ll Slgn TYPE �..,j New �as <br /> U Sprinkler �!�'Ffepair/Meint. U Omer <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALE9 TA%CODE IS 7105 <br /> WORK DESCHIPTION <br /> Rrp.►,� �s;,-�� u ti�� h/e.7E � <br /> ����'N�O �TO'�. ��/lvt� �� S� L�SOi <br /> PLUMBING MECHAhiICt.L <br /> NO. TYPE OF fl7fTURE OR REM NO. TYPE OF Fl7(TURE OR REM <br /> _ WATERCLOSET _ q/C-A/FiANDLINGUNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVF.TORY(WASH BASIN) _ HEAT PUMP <br /> R _ UNIT HEATERS <br /> 1_ KITCHEN SI 8 DISPOSAL �fr'ir�/q�b. _ CLOTHES DRYER <br /> — R _ RANGEHOOD <br /> _ LAUNDRYTRAY WATER HEATER <br /> _ CLOTHES WASHER METALFIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPING <br /> _ S�iJK(SERVICE/BAR/MOP/ETC.) __ EXHAUST FAN <br /> _ OTHER OTHER <br /> � — — <br /> I — <br /> I �HEREBY CERITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISION�OF LAWS AND ORIDIN�,�ES GOVEPNING THIS TYPE OF WORK WILI BE COMPLIED WI?M WHETHER SPECIFIED MEPEIN OR <br /> NOT. ?HE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUTe OR CANCEL THE PFOVISION OP ANY OTHER <br /> � S'�nTC CR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTPUCTION. THAT I AM 4UTHORIZED BY TME <br /> I OWNER OF T�I-IS PROPERN TO PERF THE WORK FOfi WNICH APPLICATION IS MAOE AND 1 COMPLY WITH"HE STATE <br /> CONTR jQHS LAW 18.27 RC �.200 AC. ) <br /> .ri ,.l":� --/�� �Y�/VIZ. <br /> 'S ol OwnedConlractor/Authonzed Agent �'—� a'�te <br />