Laserfiche WebLink
P�RMIT APPLICATION <br /> CITY OF EVERETT RERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857 n� �b S" �7 <br /> SITE ADDRESS M PARCEL TA7(I.D./ PERMIT M <br /> `t �'� s�, 0�3 a� O O N_ S- 0 c� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. �s � ' - <br /> OWNER ADDRE33 ZIP PH E <br /> �tfiNti�� ��; 1� Pd � L�x �i'74, YPdb� �90-7573 <br /> TENANT� I -�CONTACTFORPERMIT PHONE <br /> ' kc�v.o �fiUy�y �+ds-3�/P-�s� <br /> NTRACTOR / ADDRESS LP CONTR.LICENSE N <br /> iH'-�ie� �0�, PU • L�X 47b , q'�ab(� <br /> PHONE �i'f/rJNG,IO/O[�. <br /> -� <br /> PROPOSED USE OF BUILDING B ng MeChanical Addlllon HEA7 SOURCE <br /> c � PERMIT omb108U0� B Plumb(ng WORK �tlon �FJsCBrlc <br /> �yh,G�.F `jq,��,� 7YPE Demotidon D Sign TYPE New C�'cae <br /> � Sprinkler Repalr/Malnt. U omer <br /> CONTRACT PRICE OF WORK aSO��O� CITY OF EVERETT LOCAL SALE9 TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> �YGt� �A^'v�`'� WC)0 4� �4STl�!/G%�d�� ' <br /> Pla ti �r�- �/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. . TYPE OF FIXTURE OR ITEM � <br /> ,3� WATER CLOSET(TOILET) -A/HANDLING UNITS <br /> BATHTUB ORCED AIR�S YSTEMS. <br /> � LAVATORY(WASH BASIN) HEAT PUMP" _ <br /> _L SHOWER UNIT HEATERS <br /> _L KITCHEN SINK�DISPOSAL j LOTHES DRYER <br /> �_ DISHWASHER � RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> �_ CLOTHES WASHER � METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICEIBAR/MOP/ETC.) "� EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY 'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING UF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE O OCAL LAW R G C RUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNE F HIS PROP TY TO P RM HE WORK FOR WHICH APPLICATION IS MADE AND f COMPLY WITH THE STATE <br /> CO CT RS W 827 RCW 00 WAC. <br /> Sgn ture of Owned r or Autho Agent D � <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED /a <br />