Laserfiche WebLink
PERMIT APPLICATION �J� �8 <br /> C[TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 <br /> /.�c.��� s � �o0 4t <br /> SITE ADDRESS / \ �� I PARCEL TAX I.D.# PERMIT# <br /> 9y'z�( �4� U(�ll� W � fUc^2e'CT �(/ / Cl �/ � <br /> LEGAI LOT N0. l3LOCK TRACT 7 <br /> DESC. A��� (NOtlD S <br /> OWNER A DRESS ZIP pHONE <br /> C.�t-t {.�.-...��u<<Oc�ec � �,�/c . i`'d g�x /S79 � .��o�,.ar.cFJ� u/A� 9d'Z9I ��lL� 35�9-/�00 _ <br /> TENANT NAME CONTACT FOR PERMIT pHONE I <br /> CONTRACTOR ADDRESS 21P CONTR.I.ICENSE# <br /> c�.� po K�,� is7 9 <br /> P(ts� 3 s-9 -rcoo �S',vo �,4,...n crF1 J (�-�� 98Z91 Cvvlrn) if1� ags�73 <br /> PROPOSED USE OF BUILDING Building I�"1 Mechanical Addition HEAT SOURCE <br /> PERMIT � Combination F� Plumbing WORY. � Altera�ion � Electric <br /> ��J S�`� TYPE Demolilion t.J Sign TYPE Naw Gas <br /> Sprinkler RepairlMainL Olher <br /> CONTRACT PRICE OF WORK ��� O�L� ::ITY OF EVERETT LOr,qL SALES TAX CODE IS 3105 <br /> N!ORK DESCF.IPTION <br /> N��FQ c,Ns� � ,��s��2Z4.3S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM . NO. TYPE OF FIXTURE OR ITEM <br /> � WATERCLOSET�OILET) — F�/C—A/HANDLINGUNI'iS <br /> � BATHTUL�IffW � FORCEDAIRSYSTEMS <br /> � LAVATORY(WASH BASIN) = HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> �_ KITCHEN SINK 8 DISF'JSAL _� CLOTHES DRYER I <br /> � DISHWASHER � RANGE HOOD I <br /> LAUNDRY TRAY _J_ WATER HEATER <br /> � CLOTHES WASHER 3. METAL FIREPLACE/S fOVE <br /> URINAL FIR[PLACE INSERT <br /> DRINKING FOUNTAIN � GAS FIREPLACE <br /> — FLOOR DRAIN � Gh3 RANGE <br /> = BACKFLOW PREV'iNTER � GAS PIPING I <br /> — SINK(SERVICE/BAR/MOP/ETC.) _� EXHAUST FAN <br /> OTHCR OTHE.R <br /> — -- — i <br /> — _ i <br /> � <br /> — I _ � <br /> i II I HEREBY CERITIFY TFiAT I HAVE READ AN�CXAMINED-THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br /> I PROVISIONS OF LAWS AND ORIDINACcS GOVERNING THIS TYPE OF`A�ORK WILL BE COMPLIED VJITH WHETHER SPECIFIED HEREIN OR � <br /> � NOT. THE GRANTING OF A PERMIT�OES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER I <br /> STATE OR LOCAL lAW REGULATIN6 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED RY THE <br /> OWNER OF THIS F OPcRTY TO PERFCRh1 THE WORK FOR`NHIC4 APPLICATION IS MADE AND I COMPLY WITH THE STA?E i <br /> C;, ACTORS � � t827 RCW AND 2�6.200 WAC. � �, <br /> � 03 ia v � <br /> S�gr ature o OwnedContractor/Authonzed Agent Date i <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED rL I <br />