Laserfiche WebLink
�ERMIT APPLICA�ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 88201 <br /> 425-257-8810-FAX 425-257-8857 <br /> SITE ADURE6S PARCEL TAX I.D.M PERMIT N `D�� <br /> 5 � / <br /> LEGA LOT N0. lLOCK iRACT <br /> DESC. <br /> N <br /> ��,ii,a,, ����,�� j��� ���� • nP 4��A� N�al�-r134/� <br /> TENANT NAME I CONTACT FOR/EIIMIT �� <br /> ' ADDRE6! L� CONTR.LICEN�E� <br /> coenucrae�U�c ��i�aro� ��io�SiloADt✓�'�' <br /> PMONE .�F.�S�'.2.5°f"/�n� �G� 7�e�d <br /> PIIOPOSEO USE OF SUILDINO [� BUlldinp MechaNcal Mditlon MEAT fOURCE <br /> pER1A1T QCombinaUo� � Plumblrp WOIIK B Nbrotlon �ENcoic <br /> ME L1 Demolitlon Slpn TY►E D Nw+ � <br /> U Sprinkler LJ HepWrn�Mmt. onNr <br /> CONTRACT PIIICE OF WORK CRY OF EVEIIlTT LOCAL lALE!TA%CODE t!N06 <br /> WORK DE6CRIPTON - <br /> � {��T � -�►.���a� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. ?YPE Of fU(TUIIE OR ITlM <br /> WATER CLOSET(TOILET) _ AJC—AlHANDLING UNITS <br /> BATHTUB _ FORCED AIR 3YSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> WATER HEATER <br /> CLOTHES WA9HER � METAL PIREPLACEISTOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> S:NK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER/�/�e NE.irT�_ _ OTHER <br /> I HEREBY CERITIFY THAT i HAVE READ ANO EXAMINED THIS APPLICATION AND HNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> iPROVISIONS OF LAWS AND ORIqINACES GOVERNIN�THIS TYPE OF WORK WILL BE COMPLIED WITH WMETHER SPECIf�ED HEREIN OR <br /> NOT. THE�RA��TING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCA�.LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV 1�Q PERFORM THE WORK FOR WHICH APPLICAT�ON IS MADE AND I COMPLY WITH TME STATE <br /> CONTRACTORS LAW 1 27 R �V AND 298.2 WAC. <br /> � , ,,, l// Q(/ ,�G. 63 <br /> ignature o �w erl ontractodAuthonzed Agent —��� � <br /> f DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />