Laserfiche WebLink
� <br /> ( _RMIT APPLICATI �N <br /> CITY OF EVERETT PFRMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810- FAX 425-257-885� <br /> SITE ADDRESS PARCEL 7AX I.D.R PEF NIT M <br /> IS� � ► 0'1��+ t�- 1 . S � . co�m�-ozb <br /> LEGA LOTNO. Z BLOCN TRAC" � <br /> DESC. ,,3--O <br /> OWNER ADDRESS LP PHONE Q Z� <br /> PD� En,i�k'�s�S ,��N� � d, 30� 3404�, �vr q�zo3 4a2- �58�— <br /> TENANT NAME CONTACT NAME PMONE <br /> I � ��. R�i►..� � �r �S- 4�a - �50� <br /> CONTRACTON ADDRE53 ���.— ZIP CONTR.LICENSE M <br /> pp,e r►.n�e.(��+�sf� S ��-}-�.. �. o. 3ox 39-09-, �zo3 <br /> PHONE (P(�2L'AJJ._* OZC�C,, <br /> - �2z -�SUS <br /> PROPOSED USE OF BUILOINO I''1 Building I"1 Mechenical AdAitlon MEAS SOURCE <br /> PERMIT IF��(�,�.ombmetion K Plumbing WORK Alterelbn EI rw <br /> `�,�J TVPE {,.) DemcNllon �.� Sign TYPE ew 6as <br /> J �` U Spdnklaf Repalr/Meinl. Other <br /> CONTRACT PfiICE OF WORK CITY OF EVERETT LOCAL SALES TA%CODE IS�105 <br /> WONK DESCRIPTION <br /> ��y��•C ZZ 1 O <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlI(TUPE OR REM NO. TYPE OF fl%TURE OR ITEM <br /> �_ WATER CLOSET A/C-AMANDLIN(i UNITS <br /> � BATHTUB Z FORCED AIR SVSTEMS <br /> �� IAVATOFY(WASH OASIN) HEAT PUMP <br /> �_ SHOWER UNIT HEATERS <br /> � KITCHEN SfNK 8 �ISPOSAL CLOTHES DRYER <br /> _L DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAT' � WATER HEATER <br /> Z CLOTHES 1YASHER METAL FIREPLACE/STOVE <br /> URINAL FIHEPLACE INSERT <br /> DR�NKING FOUNTAIN � OAS FIREPLACE <br /> _ FLOOR DRAIN � GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPINO <br /> SINK (SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> OTHER _ OTHER <br /> ' 1 HEREBV CERITIFV THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNOW iHE S4ME TO BE TRUE AND CORRECT. ALl <br /> PROVISiONS OF LAWS AND OFIDINACES GOVEPNING TMIS TVPE OF WORN WILL BE CJMPLIED WITH WMETHER SPECIFIED HEREIN OR <br /> NOT THE GRANTING OF A PERMIT DOES NOT PRESV�dE TO 61VE AUTHORITV TO VIOLATE OR CANCEL TNE PFlOVISION OF PNV O1MER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFONMANCE OF CONSTRUCTION TMAT I ARf AUTHORIZED BY'.HE <br /> /OWNER OF 7HIS PROPERTY TO PEPFORM TME WOFK FOR WHICH APPLICATION IS MAOE AND I COMPLV WITH THE STATE <br /> ICONTR�ICTORS LAW tB27 HCW ANU 296 200 WAC. <br /> � � ' / <br /> ��ll�c-'V �j1Lc%�C'J��/ (n /� ��� <br /> Ignature o�wneV onlractori ulhonzed Agent � at� <br /> %a. <br />