Laserfiche WebLink
tl <br />SITE ADDAESS <br />%�'Z� � � <br />LEGA LOT NO. <br />DESC. Ly t � <br />P�r�MIT APPLICATlG.J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />v�2GY�CEN <br />BLOCK <br />_ l <br />PARCEL TAX I.D. # PERMIT a <br />wR o03�3-700�00�{-03 L3oao -o�a <br />TRACT I <br />�EVEIZ�y �T�M� T2/k1'S � �iviS�o� �.. <br />STR�� Fu,tO - PM11.1.� PS (�t,C <br />TENAi IT NAME <br />(,o�d , (J� M�(owlns � k f�An�s,TN <br />CONTRACTOR �.������I tp�S^�UGi� <br />PHONE <br />Q�ZS • 449 -.64`r'2. <br />PROPOSE� USE OF BUILDING <br />Q�L� �4oy` /��E _SE <br />CONTACTNAME <br />1C 6V � nl �'t'ooK- <br />ADORESS 6sO0 �07i P��t (��i <br />{CtKKt-/fiJ� Wi <br />Building Mechanical <br />PERMtT � Combinalion R Plumbing <br />TYPE Demolition d Sign <br />Sprinkler <br />a.v�vin�+�.i rnwcvrvrVnn�/�,oOO. pp <br />—i <br />PLL9Hl� �1419:11J � P1CI <br />Piu1�0 Si�2�GE <br />'nMLT� Tf orF Whl,l.S <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BAl'HTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />_ KITCHEN SINf< 8 DISPOSAL <br />_ DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />_ SINK (SERVICE/6AFUMOPJETC.) <br />_� OTHER <br />.� <br />IN <br />9�.o�c, 4LS- 44z-is�3 <br />PHONE <br />4?Fi- oZl -5591 <br />ZIP CONTR. LICENSE k <br />�i'8oa� 3 I��t2�R�k R g � s�- <br />Addilion HEAT SOURCE <br />Alteralio,� El�ctric <br />New Gac <br />Repair/PAainl. Olher <br />CITY OF EVERGT7 LOCAL SALES TAX COOE IS 3105 <br />r'4Ne� Z'wo NoN- �E'R,ei�U <br />��STtnIG IZ£I�iL S�l�C..� , <br />NO. � TYPE OF FIXTUqE OR ITEM <br />_ A/G—A/HANIJLINGUNITS <br />_ FORCE� AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RANGEHOOD <br />_ WATER HEATER <br />_ METAI FIREPLACFJSTOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />_ GAS PIPING <br />_ EXHAUST FAN <br />_ OTHER <br />I HEREBY CERITIFY THAT I HAVE FE4D AND EXAAIINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS Q= lAWS AND ORIDINACES COVERNING THIS TYPE OF WORK WILL BECOA7PLIED WITH WHEiHER SPECIFIED HEFEIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO G�VE AU'I HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STA7 E OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TH PROPERIY TO �ERFORM THE WORK FOR WHICH APPL�CATION IS h1ADE AND I COMPLY V✓ITH THE STATE <br />CONTRACTO LAW 18.2 P.0 ND 296�200 WAC. <br />� R-ZS-vZ <br />`la <br />