2120 62ND ST SE 2016-10-18 - Laserfiche WebLink

�'�{�Mli AF'PLIC.�i[ORI �UIL.DIi`�/ NiECF-IANIGAL I{'L.IJnli�ING / SIGi��F�F�Ii�KL.�� I DEIl��LIiION CITY OF EVERETT PERMIT SERVI �S 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permifs �, _ -. _ , ,. BUILDING PERMIT APPLICATION : - _ � Use of Buildinp: Proposed Use of Building: Building Type: ❑SFR-Detached ❑SFR-Attached ❑ Type of Project: ❑New ❑Addition ❑Remodel ❑R� DESCRIPTION OF WORK: ZE-'�eed� (�(i��i � IASSOCIATED BUILDING PERMIT # (if applicable): Contract Price of Work: Heat Source: ❑Gas ❑Multi-Family�# of Units: ❑T.I. ❑Sian ❑Sprinkler ❑Electric ❑Other ❑Commercial ❑Demolition ❑Chanc ❑Industrial of Use PLUMBING PERMITAPPLICATION Type of Project: _New _Addn _Alteration _Repair Fixfures List of Fixfures Fixfures Lisf of Fixtures Toilet Backflow Preventer (Inside Bldg) Bathfub Urinal Lavatory (Wash Basin) Drinking Founfain Shower Floor Drain Kifchen Sink & Disposal Grease Trap Dishwasher Roof Drains Clothes Washer Medical Gas Water Heater Other: Sink (Service/Bar/Mop/etc.) Other: ACKNOWLEDGEMENT.� 1 have reviewed this application and confirm the informatron contained he�ein fs true and correct. work done pursuant to m�s perm�t must compry wan current federal, stafe, and local law. The granting of a permit only authorizes app�oved work and no deviations therefrom. Devrations must first be authonzed in writing from the Building Official before being authorized under any circumstance. I am the owner, or / am authonzed by the owner of this prope�ty to perform the work for which application is made, and / comply with the State Contractors Law 1 B.27 RCW and 296.200A WAC. Agent Signature Cify of Evereft Official Use Only PERMIT � � ��- 6 - 022 Date (Revised 90/12/2095)