Laserfiche WebLink
Y ` _� <br /> / i,.. <br /> ! PERIVI�T APPLICATION <br /> CITY OF EVERETT PERMIT SFRVECES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—Fi�C 425-257-8857 <br /> ISITE ADORESS PARCEL TAX I.D.# PEFMIT a <br /> i � �5-� - v� � ��G . `� �[2��177-rY�-c:� _1 Q'� ��=o� <br /> LEGAL LOTNO. BLOCH TRA�T <br /> DESQ G/�� � <br /> G <br /> owNen ��" _ <br /> ADDRE55 � � 21p PHONE <br /> �-�� �i�.q2 T -,�J � .��s�?5'�� �� -—Ga�b' �1�-3�'�-�:�-5 <br /> TENANTNAME CONTACTFORPERMIT PHONF <br /> c��i�/�'lF— ��'G� �� �.�T�L-i2 `�v7���` �c�� <br /> CONTRACTOR AUDRE55 21p CGNTR.LICENSEA' I <br /> PHONE <br /> �.�,J i� �EE XJ�1- <br /> PROPOSED USE OF BUILDING Building ���]]] MeChanical Addilion HEAT SOUP.CE <br /> PERMIT ,�Com6ination � Plumb'ng IWORK�!� Altcration <br /> ll'PE Demolition Sign IYpE New Gas <br /> Sprinkler B RepairRdaint Othor <br /> CONI:2ACT PRICE OF WORK CIN OF EVERETT LOCAL SALES TAX CO�E IS 3106 <br /> WORK DESCRIPTION I <br /> � .-i ! /�� it:� ;� /�f:r<-c1�'% c� � /�.,-�v / %��1<.�� /-)s'r�y7�'��-� <br /> —_--�—' .� _ <br /> I cludcn � /LP .L�l2�.ai ,eov��� <br /> PLUMBING MECHANICAL I <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM I <br /> � WATER CLOSET A/C —A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> L_ LAVATORV(WASH BASIN) HEAT PUMP I <br /> L_ SFIOWER UNIT HEATERS <br /> L_ KITCHEN SINK&DISPOSAL � CLOTHES DRYER <br /> �_ DISHWASHER <br />� LAUNDRYTRAY RANGEHOOD <br /> L_ CLOTHES WASHER _L WATER HEATER <br /> URINAL METAL FIREPLACE/STOVE <br /> DRINKING FGUNTAIN � FIREPLACE INSERT <br /> FLOOR DRAID! J_ GAS FIREPLACE <br /> _ BACKFLOW PREVENTER 1_ GAS RAN6E <br /> _ SINY.(SERVICE/9ARIMOPIETC.) � GASPIPING <br /> OTHER � EXHAUSTFAN <br /> — OTHER <br /> I HEREBY CERITIFY THAT I HA,VE READ AND EIAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AI.L <br /> PROVISIOt�S OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF NpRK W1LL BE COMPLIED N9TH WHETHER SPECIFIED HERI:IY OR <br /> NOT. THE GRANTING OF A PERM1IIT DOES NOT FRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI LAW REGULATWG CONSTRUC'iION OR THc PERFORMANCE OFCONSTRUCTION. TNAT I AM AUTHORIZcu.^.{THE <br /> 01"!tJER OF THIS PROP V TO PERFORM THE WC`RK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> C N7R�CTORSLA 27R W ND?9�OOYVAC. <br /> l � O� �' ,�2i ,�' !`—�< <br /> igna_ e of Own IGonttactor Authorized A�ent Date �/ <br /> nEBIT& CREDIT CAr'JS ARE NOT ACCEPTED ( <br />