Laserfiche WebLink
P�RMI� APPLICATIC�nI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610- FAX 425-257-88:7 <br /> SITE ADDRESS � G 'o .3 pARCEL TAX I.D.# �ERMIT a v�`� <br /> I It! � �� Sc oos� 7N7 001 0 6 0 ( 0�67 �' <br /> LEGA LOT NO. BLOCK 7RACT <br /> DESC. <br /> OWNER AODRESS LP PHONE <br /> /yJ � �'�N�r' sc� �?o. 13�.X loSS S.va . q/4 58� z5f <br /> TENANTNAME CON7ACTNAME PHONE <br /> ��{M1�e..S �AJ�Z I ST LvC, ��O(,� �. �)S�' 77�� 6 0 35� <br /> CONTRACT R DL�� N`a� � ` ADDRESS 2!P CONTR.LICENSE 8 <br /> � r ` //�a�.se,.� K� <br /> � ''� 7[/oc, BGi-r Nt_e77cM <br /> PNONE yls_ 7j6�8.�35' rC✓[-✓.F/ Lv��I `�7F�ZOS r <br /> PROPOSED USE OF BUILUING Building I'"1 Mechanical Addition NEAT SOURCE <br /> PERMIT Combination K Plumbing WORK Altaration Electric <br /> TYPE Demolition �{d�3ign TYPE �w � Gas <br /> Sprinkler(p of heads) U RepaidMaint. L� Other <br /> CONTRACT PRICE OF WOP.n �' 61 Cf 9 p p U �"CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTON <br /> %v5�4Lt- C/1 ,S,<� o� �7E✓ G�t.vq/oL L�f4c-9 o.v <br /> I^/}C L (.a./�� <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> _ WATER CLOSET(TOILEi) _ A/C—A/HANDLING UNITS <br /> _ BATHTUB _ FOF.CED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAI PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN S�NK&DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER _ RANGE HOOD <br /> _ LAUNDRY TRAY _ WATER HEATE;� <br /> _ CLOTHES WASHER _ METAL FIRE�LACE/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 BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORID�NACES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHE7HER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUN.E TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM T E WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORSLAWi8.E7 AND WAC. <br /> �J' �3 .CJS� <br /> SignaWr w ontrecto uthorized Agent ate <br /> ��L <br />