Laserfiche WebLink
t � <br /> . I <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3'L00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADD�tES� _ I PARCEL TAX I.D.# �ERMIT�� C _ <br /> •N��� O�" i �.� ��ZY./ �J.O �c3— � <br /> LE AL LOTNO. BLOCK TRACT I <br /> DESC - II <br /> OWNER ADDRESS LP P/HONE I <br /> �,�.7�'P �/S/'/1� Gt��l�� �STf� �., �'✓f;PG%%,�v',� ��'.�(/ /-�J3� �'���'�'J, I <br /> T NANTNAME � CONTACTNAM PHONE I <br /> �(��,�/, ��/��f�., I��i��/� ,�lc�,P� �/�f� 1SE'�'-L`���' <br /> CONTRACTOR � ADDRE:.S ZIP CONTR.LICENSE# 'i <br /> � �T �3C'�/ /���c'F�/�✓G7 �,E%�v /»r9 /�-/r �c/�. ,/�(� ,I � ,/, <br /> PHONEI f ` � - r. � / � �G=I�..�CGX�� ll��� �j�7�'%�. LL�iJn�-� ��''SN� <br /> fa?5 ���� E�%%� � �.' �� � <br /> PROPOSED USE OF BUILDING I Building I7 Mechanical Atldition HEAT SOURCE <br /> PERMI7 Combination H Plumbing WORK R�j Altera�ti � R Electric <br /> 7YPE DCm01ili0n LJ Sign TYPE u yr+vT � I �.,j Gas <br /> Sprinkier IIYRepairlMainL LJ Other II <br /> CONTRACT PRICE OF WORK c�'��JC�J y CITY OF EVERETT LOCAL SALES TAX CODE IS J105 I <br /> �•r <br /> WORK OESCRIPTI7N , � <br /> /�E-�cc%i � �����'�j�GSi /�c-,ti' ./�'� ��;�'�"'1'i %/�'� I <br /> ! .� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TYPE OF FIXTURE OR ffEM , <br /> WATER CLOSET A/C—AIHANDLING UNITS �� <br /> BATHTUB FORCED AIR SYSTEMS ��, <br /> LAVATORY(WASH BASIN) HEAT PUMP �,. <br /> SHOWER UNIT HEATERS ��. <br /> KITCHEN SINK&DISPOSAI CLOTHES DRYER '� <br /> DISHWASHER RANGE HOOD 'i <br /> LAUNDRY TRAY WATER HEATER I <br /> CLOTHES WASHER METAL FIREPLACE/STOVE �. <br /> URINAL FIREPLACE INSERT ' <br /> DRINKING FOUNTAIN GAS FIREPLACE �� <br /> FLOOR DRAIN GAS RANGE i <br /> BACKFLOW PREVENTER GAS PIPING I <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN ��I, <br /> _ OTHER _ _ OTHER '�� <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXA�dINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL I <br /> PROVISIONS OF LAWS AND ORIDINACES GOVtRNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES NOT PRESUh1E TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF t NY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNE THI PROPERT -7O RFORM WORK FOR WHICH APPLICATION h1ADE ANU I COh1PLY WITH THE STATE <br /> CONT C OR �W 10.2�C�A D 296. 0 AC� , <br /> �� ,/, �� . �C,C'-t'.�. ��� ' �'�� L7 <br /> Si�nat r of OwneAContractodAuthorized Agent e <br /> �/ <br />