Laserfiche WebLink
�cRMIT APPLICAT��.1N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SIFEADDRESS PARCELTAXI.D.B P pMIT• <br /> z8r5' ak R��kw` (� 303 - oi�z <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> °�NER ��Q �- /� ADDpESS � � ��� PMONE <br /> ` lfl N �0 5Z (t o S <br /> TENANT NAME CONTACT NAM 4t N• � � ,G . NE <br /> Sni.L.� �.5 ��`�" l.r O I ' - VtiTq <br /> CONTRPCTOR ADDRESS 7JP CONTR.LJCENSEN <br /> X � S � �'� r',S�s `�l o �� �foZ-� �Nh[.�eo� LJR' 4 $o�fL <br /> z5 7� S 1 � 9 � � ���- XL• SE • I * 1 •5$ <br /> PROP S Building Mechanical Additbn HEATSOURCE <br /> \ PERMIT R{-1 Cambinetior IR--( Plumbing WORK Alteretion R Electrk <br /> W a�`{r�s�,,, �` TVPE �j Demolitlon L.J Sign TVPE New {.,J Oas <br /> U Sprink�er Repelr/Melnt. L) Olher <br /> CONTRACT PRICE OI�WORK CITY OF EVEREIT LOCAL SALES TAX CODE IS 7105 <br /> WORK DESCRIPTION A D [� <br /> .T Ns't'ot l� i ti� �'•rG C'G'�aC O� dk."r ��es.'f Co�� aNp� O.. �r i Pt aoor <br /> ^� M '�e, 5 a� r w e�l o,'r -t'�.�. t'���aa5�' o � -t�►a. EUer�-��fc.. <br /> V!.'`16r��N Gllfi. _ -- <br /> LUMBING MECHANICAL <br /> N0. I TYPE OF Fl%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> WATER CLO�E'f A/C-A/HANDLIN6 UNITS <br /> BATHTU� FORCED AIR SYSTEMS <br /> LAVATORY(VVASH BASiN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL GLOTHcS DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRI'7RAY WATEH HEATER <br /> I = CLOTHES WASHER = METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSER'f <br /> DRINK;NG FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> �� BACKFLOWPREVENI'ER GASPIPWO <br /> SINK�SERVICE/BARiMOP/6TC.) _ EXHAUST FAN <br /> OfHER _ _ OTHER <br /> — —I <br /> I HEFE6V CERITIFV THAT I HAV:READ AND ExAA11NED THIS APP�ICATION ANU NNOW THE SAME TO BE TRUE AND CORRECT. AlL <br /> � PROV1310N5 OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORH WILL BE COMPl1ED WITH WHETNER SPECIFIEO HERCIN OR <br /> ' MOT. THE GRANTING OF n PERMIT OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF PNY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOAMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br /> OWNER OF 1'HIS PROPERTV TO PERFCRM THE WORK fCR WHICH APPLIC�TION IS MADE AND t COMPLY WITH THE STATE <br /> � CONTNACT LAW 18,27 RC AND 296200 WAC <br /> 03 07 0� <br /> Si w .ur.�„ont acton uthontod A ate �/� <br /> D�tlIT & CREDIT CARDS ARE NOT ACCEPT�D <br />