Laserfiche WebLink
�RMIT APR'LI�AT�N <br />CITY OF EVERkTT PERMiT SERVICES <br />3200 CEDAR STREET, EV�RETf, WA 96201 �7�-�jJ� <br />425-257-8810 — FAX 425-257-8857 � � <br />NAME <br />yL�- <br />PMONE � � <br />�/eAn�j' <br />Z22 " <br />PROPOSED USE OF BUILDING <br />C <br />CONTR RICE OF WORK <br />WORK DESCRIPTION <br />�/ <br />NO. � TYPE OF Fll(TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINY. 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINK�NG FOUNTAiN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SEFiVICE/BAR/MOP/ETC.) <br />OTHER <br />CONTACTNAME <br />iu:�•�;� <br />�A� �°°RessPo �ox '�!o lg�z--a�� � HcO�14TFc <br />�s Z. �f��� C 17'y w A <br />PERMIT <br />TYPE <br />I� Building y� Mechanical I I� Addition I HEA'f SOURCE <br />K Com6ination F_� Plumbing �WORK �� Alterntion � () Electric <br />�._� Gemalition LJ Sign �TYPE « New � Q Ges <br />L� Sprinkler ! U Repair/MainL I L] Other <br />CITV OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br />N0. I TYPE OF FU(TURE OR ITEM <br />� A/C — NHANDLING UNITS <br />FORCED AIR SYSTEMS <br />_ HEAT PUN,P <br />UNIT HEA'iERS <br />CLOTHES DRYER <br />RAN�E HOOD <br />WATER HEATER <br />METAL FIREPL�,CE/STQVE <br />FIREPLACE INSERT <br />GAS FiREPLACE <br />C,AS RANGE <br />7 GAS PIPING <br />� EXHAUSTFAN <br />07HER <br />AUs�'' �A/Vr7 <br />'� D��� 9e�v �p « <br />I HEFEBV CERITIFY THAT I HAVE READ AND EXAh11NE� THIS APPLICATIOfJ AND KNOW THE SAME TO BE 7NUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORIDINACE,�'i GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITFi WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VfOIATE OR CANCEL THc PROVISION OF ANY OTHER <br />S7ATE OR LOCAI. I.AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT'� 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 />dON7RACTORS LAV� 18.27 RCW AND 296200 WA�j � <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� <br />