Laserfiche WebLink
P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> S17E ADDRESS PARCEL TA7(I.D.N PERMI7 A <br /> ZC�/ �- - ' �/,Cvt�.-r r9�z�i �'JS'v 8t�oonv� D+lo�(-901� <br /> LF.GA L07 N0. BLOCK TRACT <br /> DESC. � � �a✓ �,� y�. <br /> OWNER � URE53 ZIP PHONE <br /> � el.7s��r'_� SJ`a.� �r>lif����.� l��i4/ �y?sjzss o� <br /> TEN T NAME CONTACT FOR PERMIT PHONE <br /> I � " ,� / �y2�1�-o7m.i' <br /> ' �a�ci- e ��%2i7-h ��'//1�1s�zz S'-P/T%' <br /> CONTRACTOR ADOR S9 2�P CONTR.LICEN9E N <br /> PHONE <br /> /[�rh C <br /> PROPOSEDUSEOFBUILDING I �PE�T B SprinRle�1n n � Sgn b'ngal ryP K LJ NeparMaint. NEAT3GeR�CE <br /> V Olher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALE9 TA%CODE 19 7100 <br /> WORK DESCRIPTION . <br /> c�.s���f ,� `�� `� � e���- °�`� <br /> � � � � � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> _ WATER CLOSET(TOILET) AIC-Alf IANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UNITHEATERS � <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER � � <br /> DISHWASHER /��yJG- RANGE HOOD <br /> _ LAUNDRY TRAY �G� � WATER HEATER <br /> CLOTHES WASHER METAI FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTI-ER OTHER <br /> I <br /> I — — <br /> I — <br /> I — — <br /> � <br /> � <br /> � I HERE2Y CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME Tp BE TRUE AND CORRECT. ALL <br /> I PROVISIONS OF LAWS AND ORIDINACES GOVERNING 1HIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU7HORITI'TO VIOLATE OR CANCEL TME PROVISION OF ANY OTHER <br /> iSTATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OW�iER OF TNIS PROPERTY TO PERFORM THE WOkK FOR WHICH APPLICATION IS'AADE AND I COMPLY WITH THE STATE <br /> i CONTRACTORc Lnw 18.27 AN C. <br /> r � Z� � <br /> I Sig re of er�ContrectoUAu ed Ag nt Dat ��' <br /> ; DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED �� <br />