Laserfiche WebLink
II <br /> PcRMI'��' Ae��L��.�►�'�C�N i <br /> CITY OF EVERE'iT FEHMIT SERVICES ' <br /> 3200 CEDP,R STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> r--- <br /> SITE ADDRESS �(J� �4 �I pARCEL TAX I.D.S � 6JFRA!iT# � <br /> kn� �-� u 1�,., irt ���. �vz� os 3 �3�,_.c� r � i�G2G'4-Oo�/ ii <br /> LE�AL� LOT N0. BLOCK TRACT <br /> DESC�r ,� � � � �Zo�-3Z -o/ � <br /> OWNER ADORESS ZIP PHONE I <br /> / I <br /> ��_f� •�11�^�'1.�.� I.� ����;; �. . �. (,�!_F �� i . ('OriS{ �rrc � � ,�,v �/ZJ l�<' G�Uu �� <br /> TENANT NAME CONTACT NAtd PHONE <br /> ���� I �,��� ���,�� yl; z�� o�c� � <br /> CONTR4CTOR � ! ' , . i //�/� ADDRESS ZIP CONTR.I.ICENSE tl <br /> .i J Cs�,,..r. i . � l VN!�i� f:-t ' JV <br /> PHONE /..n� S�� L. i:A�i,'e1 '_�i :' �r; ligtl. � � I <br /> IK. �.��a> u.M. s�s�a� <br /> �.� C.•." r _ <br /> PfiO,'OSED CSE UF BUILDING Building i� Mechanicai Addition HEAT SOURCE �� <br /> I!'� � PERMI7 COmbinalion �_� Plumbing WORK Alterat!on Electric <br /> I -1 ��) � -�( '� TYPE � Demolitlon L/ Sign TYNE Naw � Gas <br /> Sprinklef flepair/Meinl. Olhor <br /> CONTRACT PRICE OF�lORK C�GI �XJU � CITY OF EVERETT LOCAI SALES TAX COOE IS 3105 <br /> YJORK DESCRIPTIOh \���" — <br /> It,.. . l� � .?a. 1°�, '�cl �' S� �z 2//2 i <br /> M �( t;.. �l, ,�. " (C,Yz/�' <br /> PLUMLING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR REM <br /> WATER CLOSET A/C—A/HANDLING UNITS I <br /> BA7HTUB � FORr,ED AiR SYSTEMS <br /> � LAVATORY (WASH BAS�N) __ FIEAT PUMP <br /> SHOWER UNIT HEATEr1S <br /> � KITCHEN SINK& DISPOSAL � CLOTHES DFY�R <br /> DiSHWASHER I PAiVGE HOOD <br /> LAUNDRY TRAY I V�'ATER HEATER <br /> � CLOTHES WASHER _ METAL FIREFLACF/STOVE I <br /> URINA� FIREPLACF. I�SERT i <br /> DRIP1KIfJG FOUNTP,IN � GAS FIRFPLACE <br /> FLOOR DRAIN 1 GAS RAhGE I <br /> _ BACKFLOW PRF�ENTER � GAS PIPING <br /> SINK (SERVICE/BAR/MOPlETC.) EXHAUST FAN <br /> OTHER OTHER __ <br /> — --- — — i <br /> — ----- � I <br /> — — --� -- f ---I . i <br /> I HERE6Y CHRITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAIdE TO BE TRUE AND CORFECT. ALL �'� <br /> PROVISIONS OF LAWS AND GRIDINACES GOVERNING THIS 1VPE OF WORF'.WILL 6E COAIPLIF.�WITM WHETHER SPEC!FIED HEFEIN OF <br /> � NOT. THE GRANTING OF A PERMiT DOES NOT PRESUME TO GIVE AUTHORITY'TG��IOLATE OR CANCEL THE PF9VISION OF ANY OTHFR <br /> STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERPi;RMANCE OF CONSTRUCTION. THAT I A!.5 AUTHOP.!ZED 8'Y'.HE <br /> OWNER OF THIS PROPERTY TO RERFORht THE WOHK FOR WHICH APPLICATION IS tdA�E AN�I COCdPIY WITH THE STATE , �, <br /> CONTPACTORS LAW 18.2YF1CW ND 29 .^_OO�AC. �. � <br /> � /� i 1 .f/ � � I <br /> 3 z'� et, <br /> Signature ol Owner/CoNractG/A hotized�geq Ds� � 1/L I <br /> � I � ` I <br /> I <br />