Laserfiche WebLink
P�iMIT APPLICATI�I <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.• PERMR� <br /> 2 f./S• B �v� O $ <br /> LEOA L07N0. lLOCK TRACT <br /> DESC. <br /> OWNER A 63 <br /> Ottv M� Gkarc S� "^ � a : `. 'Ee 961,oi `J2�1� Ls'9- o7/S <br /> TENAM NA18 I CONTACT NAME MIpN! <br /> ,S«+c 9s euner <br /> COHIRACTON ` ADOIIES! a/ COHTII.LICEIqE 1 <br /> �Qf l Wa �Pi Nf+ f�i <br /> PHONE <br /> PROPOlED WE OF�UILpNO BUlldlnp MlChMIClI AddHbn HEAT tOU110E <br /> iERMfT Combinellon Plumbinp WOIIK BAlUrauon DEbctr�c <br /> TYPE �molitlon � Sipn TY/! B � Q� pu <br /> dnkla R U/M�M�. U OIMr <br /> CONTMCT MpCE OF WORK pTY OF!V[II[IT LOCAL�AL[B TAX COD[1{710/ <br /> WOIIK DE6CIqPT10N I I l ` I� <br /> �nST4 �� OY1 QPrv+Qn� �OC G✓qCCr {'ffa � C/� <br /> PLUMSIN M MANI L <br /> N0. TY►E OF FlXTURE OR R!M N0. TYR OF RXTINI[011 R[M <br /> _ WA7ER CLOSET _ NC-A/HANDLINO UNIT3 <br /> _ BATHTUB _ FORCED AIR SYBTEMS <br /> _ LAVATOfiY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATER8 <br /> _ KITCHEN SINK 3 OISPOSAL _ CLOTHEB DRYER <br /> I _ DISHWASHER _ RANOE HOOD <br /> _ LAUNDRV TRAY _ WATER HF.ATER <br /> _ CLOTHEB WA3HER � h�TAL FIREPUCE/STOVE <br /> _ URINAL _ FIREPUCE INSERT <br /> ! _ DRINKINO FOUNTAIN . _ (�A8 fIpEPU10E <br /> _ FLOOR DRAIN _ (�g q/►►�pE <br /> BACNFLOW PREVENTER _ OA8 PIPINO <br /> SINK(SERVICE/BAR/MOP/ETC.) � _ EXHAU8T fAN <br /> x OTHER ur - pa,n,o.A ��{ �„inFei �P� tr _ OTHER <br /> I MEREBY CERITIFY THAT I HAVE READ AND QUMINED TH18 APPLICATION AND KNOW TNE SAME TO BE TRUE ANO CORRECT. ALL <br /> PROVISIONS OF LAWS ANO OiiIDINACE3 UOVERNINO THIS TVPE OF WORN WILL 8E COMPUED WITF1 WHEMER SPECIFlED HEREIN ON <br /> NOT. THE 6RANTINO OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORITY TO VIOLATE OR CANCEL TME PROVI810N OF ANY OTNER <br /> SiATE OR LOCAL LAW REQUUTINO CONSTRUCTION OF THE PEHfOqMANCE OF CON9TRUCTION. THAT I AM AUTMOi1�2ED BV TME <br /> OWNEH OF THIS PROPERTY TO PEHFORAI TME WORK FOR NMICH MPLICATION�S MADE AN01 COMPLV WITH THE STATE <br /> CONTRACTORS UW 18.27 RCW AND 298. WAC. <br /> (��1y1• (��,,,�_ ,T � o , �z <br /> gnat$�ure T6wRar ontredo ut o z� p�nt at� <br />