Laserfiche WebLink
� <br /> ' �ERMIT APPLICATION ' <br /> I CITY O� EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 <br /> PARCEL TAX I.D. k <br /> P MIT�I �� ' <br /> SITE ADD�SS L1_ . -�1 �� \- � �\n�` � \ �l � <br /> n �"�� V�i Vv l ---- <br /> �� TRACT <br /> LEGA LOT NO. , ", g��� , <br /> �-+ �o c„��J f�-rc L"�r� - <br /> DESC. � Z�p PHONE <br /> ADDAESS <br /> OWNER C / ,f �' ���, �oZ7Z � <br /> 1 ('� /1 5/ .J�./'qD � <br /> � L\ � �l SI 1..�C7� J/'IL�/�U S �t' , � <br /> � `�,�(7 C.:2 �`L7� � � .J � � PHONE � <br /> TENANT NAME CONTACT NAME �Z�� ��i Lb'r-L <br /> I �i� �E C��!(�i�j �-CI 37� -Si35, 4+d- � SG 330•1`11� � <br /> �i '� /r, ADDRESS ZIP CONTR.LICENSE k I <br /> � CONTRACTOR CO �DG l �O3 J'�� I <br /> i <br /> �. ik:---,..L <br /> �•,p, /v/zzlo3 � <br /> PHONE <br /> Mechanica� Addition HEAT SOURCE � <br /> f� Building � Electric II <br /> PROPOSED USE OF BUILDING pERM1T KI-( Combinalion � Plumbing WORK Alteration Gas <br /> TypE �.j Demolition 5ign TYPE NeW Other , <br /> C. G �,/„� u Sprinkler(a of heads) RepairlMaint. I <br /> J , � o . <br /> p�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> CONTRACT PRICE- OF WORK i <br /> WORK�ESCRIPTION I <br /> �'.iy1� +�`+ ( �— �� <br /> � �� � <br /> �,�\bl C-. . <br /> _�--- MECHANICAL . <br /> PLUMBING <br /> N0. TYPE OF FIXTURE OR ITEM <br /> ryp. TYpE OF FIXTURE OR ITEM � <br /> A/C-NHANDLING UNITS <br /> � WATER CLOS�T (TOILET) � FpRCED AIR SYSTEMS <br /> � BATHTUB _ HEATPUMP <br /> � � �,i;�;,;TORY ;`NASH BAS�r:i UNIT HEATERS <br /> SHG'vtiE^n � CLOTHES DRYER i <br /> = KITCHEN SINK 8 DISPOSAL � RANGE HOOD <br /> � DISHWASHER � WATER HEATER <br /> LAUNDRY TRAY METAL FIREPLACE/STOVE � <br /> CLOTHES'NASHER FIREPLACE INSERT `,� <br /> URINAL GAS FIREPLACE o I�(J <br /> DRINKIPIG POUNTAIN GAS RANGE ^ `� <br /> FLOOr� DPAIN � GAS PIPING '�w <br /> BACKFLO`N �REVENTER � EXHAUSTFAN <br /> � = SINK �S�R`��Cc`BARlMOP/ETC.) — OTHER_�-- <br /> UTHER__--- <br /> � — — <br /> ����-�� � ^�-Ir � � t�OR D NACES GOVERNING TH S T'fPE OF WORK NI�L�BE COMPLIED�W TOH WNETHER SPECOIF ED HEREIN OF7 ; <br /> .�,,.-��-�����-•�TI;;G;`r A PER�d�T DOES NOT PRESU�IE TO GIVE AUTHORITV?O VIOLATE OF CANCEL THE PROVISION OF ANY OTHE <br /> � <br /> _ �ri�.��-,�_:,�; pgGU;t1TING CONSTRUCTION OR THE PEPFORMANCE OF CONSTRUCTION. 7HAT I AM AUTHORIZED BY THE I <br /> JCJtJE�OF"^i` PP.GPERN TO PERFORAI THE'NORK FOR'NHICN APPLICATION IS MADE:.ND I COMPLY'NITH THE S7ATc I <br /> �;)P,TP�.c.""FCFS�-�.^1 �27 FC'�V AND 296�00 WAC. / � <br /> ', / , �,� � �/���3 i <br /> ,�. �aie �.. <br /> Signar..re:� -��r�;uC�ntracwrlAu[hor¢etl Agent <br />