Laserfiche WebLink
PE� t�MIT APPLICATI�i� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982tl1 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRES � PARCEL TAX I.O.k PERMI7 M <br /> DO�ll�boo.� ooa �/ ' I B(b2bf-C�3CJ <br /> LE6A LOT N . BLOCK TRAC7 <br /> DESC. <br /> OWNER ADDRESS i LP PHONE � <br /> �Y��lAilt(l�- �7Z Z /�i!///,Gt �661L f�a�i '3 55--83� <br /> THNANT NAM I CONTACT NAM � PMONE <br /> CONTRACfOR AOORE S LP CONTR.LICENSE I <br /> �,�i.v<,� a�� ic� �Yi���u�r.ru��,�r�. s�'la3 .�r�i,�� <br /> PMONE <br /> PROPOSED USE OF BUILOIN9 Bullding D MecheniCel Addilion MEAT SOURCE <br /> PERMIT Combination U Plumbing WORK R Allerelion � Electric <br /> TYPE Demolition U Slgn TVPE D New Oaa <br /> Sprinkler U Repalr/Melnt. Olher <br /> CONTRACT PRICE OF WORK CRY OF EVERETT LOCAI_SALES 7AX CO�E IS�106 <br /> WORK DESCRIPTON <br /> Cs-c�.�./j��/�c;�y �� � hu� �—�'yX a`� <br /> �'c�( �auw� �ws " '-,�t�-=c�-3� <br /> PLUMBING MECHANICAL <br /> NO. 'fYPE OF FIICTURE OR REM N0. TYPE OF FIXTURE OR REM <br /> _ WATER CLOSET NC—A/HANDLING UNITS <br /> _ BATHTUB _ 'ORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UNIT HEATERS <br /> _ KITCHEN SINK 8 iIISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRYTRAY WATERHEATER <br /> _ CLOTHES WASHEIi METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ dAS FIREPLACE <br /> FLOUR DRAIN OAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SIN1<�SERVICE/BAR/MOP/ETC.) _ EXHAUSTFAN <br /> OTHER _ OTHER <br /> I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PpOVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOt. THE GPANTING OF A PERMIT DOES NOl PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW .O RCW AND 6.200 WAC. <br /> r%r-vC-d 3/.����---- � <br /> re o wn d ontractod ut onzed gent ete �/� <br /> / <br />