Laserfiche WebLink
SITE <br />LOT NO. <br />111 "n' <br />BLOCK <br />srn <br />TENANT NAME <br />sa�- wT <br />COr1TRACTOR Wt_j <br />PHONE 1,01L7 06'Z 117CO <br />PROPOSEDUSEOF BUILDING <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 42 -25R 881FAX 4 STREET.0 5E257- 857 TT, WA 8201 <br />" I/ o0° nn/ 00 <br />PERMIT 0 <br />PARCEL TAX I.O.A <br />D �Sat7 - �cel VI[wer {'OT r l W <br />TRACT <br />c 3Z l r3e <br />PERMIT <br />YPE <br />CONTRACT PRICEi Q i <br />WORK DESCRIPTION 9111 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />_ WATER CLUse i I I •,��" I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />-I DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />�ISINK (SERVICE/BAFVMOPIETC. <br />OTHER----� <br />VVn•r.. <br />ADDRESS <br />Ruild'ng <br />CombinaCon <br />Demolition <br />Sprinkler <br />131 vo <br />Mechanical <br />Plumbing <br />Sign <br />I <br />ZIP CONTR LICENSE <br />qe'��� <br />11�L AdditionI HEATSOURCE Electric <br />YORK Alleraucn <br />TYPE ifYJi( New Gas <br />RepalrlMainL I Other <br />CITY OF EVERETT LOCAL SALES TAA t;vuc li <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ A/C-AIHANDLINGUNITS <br />_ Fr' ICED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />— RANGE HOOD <br />= WATER HEATER <br />_ METAL FIREPLACEISTOVE <br />_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />_ GAS PIPING <br />EXHAUSTFAN <br />OTHER --- <br />I HEREBY CERITIFY THAT I HAVE READ ANU EXAMINED THIS APPLICATION AND KNOW THE SAME IT BE TRUE AND CORRECT. ALL <br />PROVISIONS iT LAWS AND HAVE R A D A GOVERNING THIS TYPE IC WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOTTHE GRANTING AI A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Or ANY OTHER <br />STATE NER OF TOWS PROPERTY rOTPERFORM THE CWORK TION OFOR WHICH APPLICATION <br />/R THE PERFORMANCE F S OMADE RAND I COMPLY WITH THE STATE <br />AUTHORIZED BY THE <br />CONTRACTORS LA 27RCW AND 2962 j� fA...X C ` 14P O 3 <br />DEBIT <br />nncnvr reRDS ARE NOT ACCEPTED <br />I'd LSB8LS2S2t+1!01 <br />:W083 2b:80 £002-91--nl <br />