Laserfiche WebLink
� <br />`� <br />SITE ADDRESS <br />%(� UO [.II� r <br />LEGA LOT NO. <br />PE�.�MIT APPLICATIC : J <br />CITY OF EVERETT PGRMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VJA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />r�e� <br />BLOZC•K <br />PARCEL TAX I.D. N <br />28US o�- op 3 c�c�z,oa <br />TRACT <br />�I2,UU <br />.F7 <br />d <br />S�rati-on-v.s�}. �-ovr�-cy ��sssY1'� 1� <br />TENANTNAME CONTACTNAME PHONE <br />Iz�ci�Nc� P-uc s!-1l��p I/��cri�� �I�G� a�-�z3- ��7� <br />CONTRAC70P. <br />� 2.°.00 �..�,�,izjC <br />PHONE .�„/ _�z3-7�7�v <br />GWO <br />PROPOSED USE OF BUILOING <br />��i%5!>%C+'�,c1�c <br />A�OFiESS <br />36/t% Sik'Tf-I AI�E. $, <br />�Ca�rEE� w�: <br />Building Mechanicai <br />PeRMIT Combination R Plumbing <br />TYPE Demolilion � Sign <br />Sprinkler <br />wrv i RAGT PRICE OF WORK Fj �� 3 2 �,� <br />ZIP CONTR. LICENSE A <br />�j8 r 3y 'nzp,a�sr�m�s <br />�73k�� ��. =c <br />Addilian HEAT SOUFCE <br />WORK B qlleralion Q Electric <br />TYPE g New �j Gas <br />Repair/Maint. U Oiher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION �EMG'�VE EXI $j //,.IG1 I� �— 5%I " (H K S� � O �/2 �' (W /L�,�;M . <br />`v�E(�U ��EPt-AGc� �,tJ�Tff �c->E/,u L��� 5l�IU ,�Z'-�Y•��H�j K S'- �'/��' �`�/) <br />NO. � TYPE OF FIXTURE Ofl ITEM <br />wA I tH ClOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />U^nINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAWMOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />n/� — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES CRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY'HAT I HAVE READ AND EXAPdINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LqWS AND OFIDINACES GOVERNIN6 THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOI.ATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAI LAW REGULATING CONSTRUCTION OA THE PERFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lAW 18.27 RCW AND 29s2an wnr. <br />� I �; r' ,.f : j� I�!.� �.,; <br />i <br />�� <br />� <br />