Laserfiche WebLink
� --- <br />� PERMIT APPLICATICIN <br />I �'ITY OF EVERE7T PERMIT SERVICES <br />� 3200 CED,4R STREET, EVERETT, VJA 99201 <br />� 425-257-8810 — FAX 4?.5-257-8857 <br />SITE /�DDRE55� <br />� >� <br />IEGA LOT NO. <br />DESC. <br />FARCEL TAX I.D. # <br />��,�. X v3 . %�� <br />BLOCK THAC7' <br />�v� C'v�`11,,« r}�,� ��>i/ <br />� i. <br />CONTRACTOR <br />PHONE <br />c'_ <br />�o <� � ( <br />CUNTACT NAME <br />// /�-/L <br />� ADDRESS � <br />/ ii <br />I ( i �J C ..;�.:�i! ol�' ��J.i <br />�' <br />PROPOSED USE OF BUILDING <br />,����G _�'^ <br />CONTRACT PRICE OF WORK <br />�c�.) lll - oa�l <br />P RMIT M <br />�,7vo Cill' �'/l <br />ao3 y,s as-.���s'� <br />PHONE <br />. `,,}�_, '"_ <br />Buiiding Mechanical <br />PERMIT �ornbinalion Plumhing <br />TYPE Oemolillon Sign <br />Sprinkler <br />�.� SUS - ��� � <br />ZIP CONTR. LICENSE M <br />�Addi�ion I HEA^T SOURCE <br />�8fy110f1 I / CIBCIfiS <br />ew � Gas <br />RepaiNMainl. Other <br />CITY OF EVERETT LOCAL SALES TA% COOE IS 3105 <br />W�RK DESCAIPTION l / <br />�n/'P_�i=-_.? GJ.-Ait.:� -�J h-2 /tGO�o�.'� � _SP(/J-VC_ � G�%� <br />` �� <br />/ <br />NO. I TYPE OF FIXTUHE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOS�L <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK jSERVICE/BAR/�dOP/ETC.) <br />GTHER <br />N0. I TYPE OF FIXTURE OR ITEM <br />� <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAI. FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER _ <br />� I I:EREBY CERITIFY'HAT I HAVE READ AND EXA�dINED THIS APPUCATION AND KNOW THE SAME TO BE T�iUE AND CORPECT. ALL <br />, {�!iUV1510N5 OF LAWS AND OFIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WI'H WHETHER SPECIFIE� HEREIN OR <br />I' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />i STATE OP IOCAL LAbY FEGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />���. OWNER Oi THIS PAOPEFN TO PERFORM TNE WCRK FOP WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />, r.oN7aaCi�RS LA�V'827 RCW AND 296.2GL WAC. <br />