Laserfiche WebLink
( ;P <br /> '� � PERMiT APPLICATION <br /> CITY OF EVERET�' �ERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 9E201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRES PARCEL TiJ(I.D.I • PERM�T p <br /> �5.� -�'i �- /L,�l ,�r. ���. )/U zi?l� � C��in-�J'�b <br /> DESC. LOT N0. %� BLOC TRACT � ������, �,.,_ J„ ,�� i <br /> \� \\� � <br /> OWNER AD�RE3S I ZIP PHONE <br /> ��C�r-�, ��c.����oS��.�1c�SQ�������,��� , S� ��,�.>> ,wI`a� . �`�'a�a <br /> TENANT NAME CONTACT NAME(U�S� Fnx PHONE `e�L � � <br /> ��� ���� Gi��� �3L��a�,:� , 9�s-���,�3� , ���G� ����1� � <br /> CONTRACTOR A�DRESS � ZIp CONTR.LICENSE M �' <br /> PHONE Cc,�Uu�o3�Nl, i <br /> 5���.- �xP. lolaalo3 ; <br /> PROPOSED USE OF BUIL�ING Euilding �Mechanical Addition HEAT SOURCC � <br /> f� PERMIT Combinalion Plumbin WORK Alteratlon Electric i <br /> �[ TYPE Demolilion Sign TYPE New Ges <br /> S' � • \\ ' Sprinkler(q ol hesds) 9 RepaldMeinL �Other I <br /> CONTRACT PHICE OF WORK CITY OF F:VEREff LOCAL SALESTA%COOE IS 3105 ; <br /> -- I <br /> WOAK DESCHIPTION � <br /> ��--�� \�3� <br /> ���5`�, ��a� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM M0. I TYPE OF FIXTURE OR ITEM <br /> a WATER CLOSET(TOILET) A!C—NHANDLING UNITS <br /> BATHTUB Z FORC[D AIR SYSTEMS <br /> LAVATORY(WASH BASIIV) HEAT PUMP <br /> SHOWER UNIT I-IEATERS <br /> J_ KI'i CHEN SINK&DISPOSAL —T CLOTfIES DRYER i <br /> � DISHWASHER � RANGC HOOD <br /> LAUNDRY TRAY � WATEri fiEATER <br /> � CLOTHES WASHER METAL FI!iEPLACE/STOVE <br /> URINAL FIREPLI.CE INSERT <br /> _ DRINKING FOUNTAIN GAS F:REPLACE <br /> _ FLOOR DRAIN = GAS R:\NGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BARlMOPlETC.) � EXHAUST FAN <br /> OTHER OTHER <br /> — — — ---- � <br /> I HEREBY CERITIFY THAT I HAVF READ AND EXAMINED THIS APPLICATION AND NNOW THf_S�ME TO BE 7RUE AND CORAECT. �LL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYFE OF WORK WILL BE C0�IPLIEO WITH WHE7HER SPECIFlED hIERFf`J OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TQ VIOLl,Tr OR C�NCEL THE PROJ1510�:OF nNV Ol l iFR <br /> STATE OR LOCAL LAW REGULATING CQNSTRUCTION OR TH[PERFOR�dANCE OF CONSTI;U�110N. TFIAT 1 AM AUiHORIZ[�BY THF <br /> OWNER O IS PROPERT!TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE A�ID I COMPIY WITH THE STATE <br /> CONTR TOR LAW 1827 RCW ND 296.200 WAC. �� <br /> � <br /> �--� � --� 1� 1 b/o 1 � <br /> Signalure ot Owner/Contractor/Authorized Ac�enl p3te l/Z ; <br /> _. � <br />