Laserfiche WebLink
� <br />PERMIT APPLICATION <br />CITY OF EVERE'iT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SRE ADDRESS <br />� R 32, l�aQnu-f S-i' <br />�� <br />PARCEL TAX I.D.1 <br />�� <br />PERMR • <br />or Ro�� <br />'. G t�� rG�4�- EUet'Ctt <br />T NAME-(..QQSGG CONTACTNAME y10� 33n«' ��E <br />o" a,r� �S .�o�u '►-.e�v � S +� Ev.wetr w 4�5 - Z3�-2la6Y <br />CONTRACTOR �a� „�E� �. ��. <br />PHONE � U-.� (.Ol"'l.y� '��... <br />PROPOS� E OF BUILDINQ TM E� �� ��� I TM� n� HEAT �R�CE <br />W D D <br />CONTRACT PRICE OF WORK 5p C,� U I diY OF EYERETf LOGL SM.EB TAIf CODE IS �106 <br />WORKDESCRIPTION v�iCF- ti-�e�(a,ce �w t�uD ui� �Irc<. u�/5f�'wcoc� Pae�. �1 a-�ta-uc.. 3 <br />pw1e.1 anv!-ew,�a.o cf-f'!,s_-f��. l.�c�t. ec�pmtn� Catin,r,�s �nsidt� .P����� bu.�lcL�.x.y <br />J <br />NO. � TYPE OF Fl7fTUNE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />IAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRiNKING FOUNTAIN <br />FLOOR DFL41N <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER <br />.f"�7� u. . a!u_: : �iy <br />A/C -M�V�OIIN(i UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNR HEATERS <br />CLOTHES DRYER <br />W►N(3E FIOOD <br />WATER HEATER <br />METALFIREPLACFJSTOVE <br />FIREPLACE INSERT <br />OAS FlREPUCE <br />(iA5 RAN(3E <br />(3AS PIPINCi <br />El(HAUST FAN <br />OTHER <br />I HEREBY CERITIFY TMAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES 60VERNIN6 THIS TVPE OF WORK WILL BE COAIPLIED WfTTI MMETMER SPECIFlED HEREIN OR <br />NOT. TNE GRANT1Na OF A PERMIT DOES NOT PRESUME TO 6NE AUT1iORITV TO VIOUTE OR CANCEL iTfE PROVISION OF ANV OTMEH <br />STATE OR LOCAL I.AW REGULATNO CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. 7HAT 1 IUA AUTliOFiIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICA710N IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS IAW 1$27 RCWAND 296.200 WAC. <br />_ I `�_ i� <br />eta � � 7� <br />�,�. <br />