Laserfiche WebLink
S!iE ADDRESS <br />��L�� g�� <br />I.�GA LOT N0. <br />OWNEP. <br />!�i�wl I���)l(c —, <br />IiENANT NM'"F <br />j �� �f�ll(o- �I <br />co - <br />PERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX d25-257-8857 <br />BLOCK <br />PARCEL TAIS I.D.11 <br />DOy3q� �og QaSoo <br />TRACT <br />.� <br />CONTACTNAME <br />F�`�• Yant KdfNiG <br />rorR,,a esi • <br />�u��,z o . �r ro,e� iNe <br />_''r2S•.,1Sf-B12L �i-2�. <br />PAOPOSED USE OF BUILDING I <br />CO�TRAI'T VRICE OF WORK <br />WOA DESCRIPTION <br />j���aJ� � YL4 p��tcs� <br />�NS � ptL /4L�-c µ i.Jw.ti <br />Rti1�cRcti �x �STiF�6 2u <br />NO. I TYPE OF FUCTURE OR REM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FnUNTA1N <br />FLOOR URAIN <br />BACKFLQW PRLVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />ADDRESS <br />�4�d� rouJ� if�12� f.� � 9t� 3 <br />f2Z(CfGc. <br />Building Mechanical <br />PERMIT Combination Plumbing <br />TYPE Demolition Sign <br />Sprinkler (x ol heads) <br />� <br />P� RMIT k <br />_'C�-C.t� <br />aP PHONE <br />�1n1 9ZS-2S� Zy� <br />PHONE <br />42i ZSSs -Zyy{�_ <br />av CONTR. LIC�r'1SE 1 <br />J74A"�fU� ; d I KCr <br />Addttion <br />Alteration <br />New <br />Fepeir/Mefnt. <br />HEAT <AURCE <br />r [Ic:Ync <br />� Gas <br />Q9 ou,e, <br />CITY Of EVERETT LOCAL SALES TAX COUE IS 3108 <br />�KISiiN(n WCo� riNCW6 ut�.l� s/i�jtACg ewtt-�... <br />/Q�.JAI_Ifjsi l�f OJ-fiL �KI.iT/N(o �-�6- le1�N5 <br />N Peeri�n�s c Cwc�� <br />NO. � TYPE OF FlXTURE Oii IiEM <br />_ A/C — A/HANDLING UNITS <br />_ FOHCED AIR SYSTEMS <br />__ HEATPUMP <br />__ UNIT HEATERS <br />CLOTHES DRYER <br />_ RANGEHOOD <br />WATER HEAT[R <br />METAL FIREPLACE/Sl UVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />_ GASRANGE <br />_ GAS PIPING <br />_ EXHAUSTFAN <br />_ OTHER <br />I HERE�V CERITIFV THAT I NAVE READ AND EXAMiNED THIS APPLICA'i �ON AIJD KNOW THE SAME TO B£ TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS l'1'P'c OF WOP.K WILL BE COMPLIED WITH WHEiHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOGS NGT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCE� THE PROVISION OF AN\' OTHER <br />STATE OR LOCAL LAW REGULATING �Oh3TRUCTION OR THE PEHFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />O THIS ROPERTY TO P RFf. �!1i.i fHE WORK FOR Wh'iCH i.PPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT W 18.27 RCW � D 296.200 WAC. <br />vS= D3 �� r�� i� <br />� <br />