Laserfiche WebLink
; <br /> � P�=RMIT APPLICAI ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> :t200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS S����uJ ��3 pARCEL TAX I.U.# PERMiT# <br /> ll Iq �1"'A c-- 5E (��-oCa (-� 005 �4� olc� i� v ! 11'lo3i,z-c/a + <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. ��J LANS � <br /> OWNER ADDRESS ZIP PHONE � <br /> v <br /> NQrl���L �' u�'2�f r,uuc,��mc�>i fJ.i o 05 orso ,s�N �4 <br /> TENANTNAME CONT ORPERMIT PHONE �j <br /> r i <br /> ON� " i <br /> CONTRACTOR ADDRESS ZIP CUNTR.LICENSE X � <br /> CJ�y�r9�� MG-GfdANrCAL ING �i�l� G{"''AVc.f W.ao7�/IJanTcAG1'l(�iP•(.U'+ 9�'u43 O�f�p�z��o�l <br /> PHONE <br /> uy�=���-��y � <br /> PROPOSED USE OF BUILDING Building � Mechanical Additlon HEAT SOURCE <br /> PERMIT � Combination Plumbing WORK � Alteratlon � ElecVic <br /> � TYPE Demolition Sign TYPE New Gas <br /> ��Ly/'���- Sp�inkler RepaldMaint. Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> WORK DESCRIPTION �STfjLL ) �QOUFT`J`' f'*�L�ry�- �'�N� T W�T �S ����y� �N� <br /> 7H�,�mosiebT <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. . TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) _ A/C-A/HANDLING UNITS <br /> BATHTUB __ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) iEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY 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(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO DE 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 OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS"i RUCTION. THAT 1 F,M AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO FERFORM THE WORK FOR WHICH APPLICATION IS M.ADE AND I COMPLY WITH THE STATE <br /> C0� CTORS LAW 18.27 RCW AND 296.200 WAC. - <br /> l�/: x/' �� -� <br /> Si ture wnedContr or/AuthoriZed Agent Date <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED I/L <br />