Laserfiche WebLink
SITE ADDRESS <br />/bb / <br />LEGA LOT NO. <br />DESC. <br />, P°�RMIT APPLICATItrN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />TENANTNAME <br />l�m��� n� �verc l� <br />CQ�NTRACTOH �1 <br />I>iAw�on� RJ C�� � <br />PHON <br />3Go) 73� - 36� <br />PROPOSED USE OF BUILOIN6 <br />/Jl�c',�oL r.�.,•N;� <br />TRACT <br />PARCEL TAR I.D. 8 <br />NAME <br />�y.36 �%rP� Ar- <br />/�r/lirxjha.n <br />Building jjj��� Mechanical <br />PERMIT � Combinatlon �} Plumbing <br />TYPE Demalition p Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK �GO� �U - '{+ <br />WORK �ESCRIPTION <br />P���h; hs <br />G �Ir—o <br />PERMIT N <br />PHONE <br />C3tb� 3�s-�is.G <br />LP CONTF. L�CENSE N <br />9BZz.G j�i4►�10[iCo6[ I�A <br />Addi�ion ME^TSOURCE <br />WORK R Alleratlon � Electric <br />TYPE D New Gas <br />U Repair/Mainl Olher <br />CITV OF EVEREIT LOCAL SALES TAi( Cf,DE IS 3105 <br />� . � l� �/y� �CiS'�/l� �i�l�+�%�� � ��i�� � �NS74���Ql�V <br />%,'�rfvrer aa E l�/� .�K.. �iwo�k �5 S�O� o a p,'r'�f <br />N0. I TYPE OF FIXTURE OR ITEM <br />/ WATERCLOSET <br />BAINTUD <br />� LAVATORY (WASH �ASIN) <br />SHOWER <br />� KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />_ LAUNDRY TRAY <br />_ CLOTHES WASHER <br />URINAL <br />� DqINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SEFVIC /DAR�MOPI�T�.) <br />� OTHER tyq�l� tljA r <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIH SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />'A'�TER HEATER <br />1�tE � AL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS ANO ORIDINACES GOVERNING iHIS TYPE OF WORK WILL BE COMPLIED WITH WNETHER SPECIFIED HEAEIN OR <br />NOT. TH[ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIUN OF ANY OTHER <br />STATE OR LOCAL LAW REGUUITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOPI2ED BV THE <br />OWNER OF TIiIS PROP[RTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STPTE <br />COWf RACTOfiS LAW 10 27 RCW AN� 296200 WAC. � � <br />G/6 <br />z <br />