Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everetlwa.otp <br /> APPUCATION8 ARE ACCEPTED FROM 8 AM TO 4 PM u ~�� —0'6 <br /> 81TH ADDRE88 PARCEL TA%I.D.M PERMIT t <br /> '! A Gq �C�rn;•, 5T p - � <br /> LE LOT NO. BLOCK TRACT <br /> DE6C. <br /> I <br /> ,r� y�s�1�N� s ��,, sq�,.�. �s ,so�` sv3 - 6zv- /9 az <br /> 7ENANT NAME I CONTACT FOR PERMIT PHONE <br /> — SU�7N.i'�VNC Sa�� nlv �[JL �Lu...�l, HIS• 77G"'1SS$� <br /> CONTRACTOR ����,, ,V��� < < ADORE88 CITYRIP PMONB <br /> �y�� �i�,./,s.,ti �.� y:s ��L- fr83s� <br /> CONTR.LICENBEM ����r ,�� ��� � � � Ff t..,.I �rto <br /> �c r, � 3 <br /> U8E OF BUILDINO I — HEAT 80URCE I CONTRAC7 PRICH OF IN�RK <br /> Electric Gae_Olher � j ,3os `�—" <br /> WORK DESCRIP710N <br /> i.v5/A�e ( 3 ) Nuv- 6."/ �`;6ou-l' �qn.el S <br /> PLUMBINO MECHANICAL <br /> N0. 7YPE OF FlXTURE OR ITEM N0. TYPE OF Fl%TURE OR ITEM <br /> _ Tollet _ A/C–alr handllnp unib <br /> _ Belhtub _ Forced alr ayeteme <br /> _ Levatory(waeh beain) _ Oae plpinp <br /> Shower Water heater <br /> _ Kitchen nink 8 dlepoeal Oae flreplece <br /> _ Dlehweeher Oas renpe <br /> Clalhea waehor Clothee dryer <br /> _ Laundry Mey _ Renpe hood <br /> _ Sink(servicelbarlmoplatc.) Exheuet fan <br /> Beckflow prevenler Heet pump <br /> _ Urinel Unit heater <br /> _ Drinkinp Founteln _ Boller <br /> Floordreln _ ReMperaGon <br /> _ 6reaee Uep _ y�p���o� <br /> Roo!drelns Other <br /> Other <br /> CITV OF EVERETT LOCAL BALEB TA)(C0081!7106 <br /> I hereby coriGfy that I heve read end exemined thle eppllcallon and know lhe eeme to be We and correct. All provlslons of lawe and <br /> ordinacee poveminp Ihls type of work wlll be complied with whether apeGfied herein or not.The prenUnp of e permfl does nol proeume <br /> to pive euthority to violete or cencel the provielon of eny other atete or local law repuletlnp consWcGon or the perfortnance ol <br /> conetruction. Thet I em authodzed by the of lhis properry to perlortn the work kr whlch epplicetlon Is made end I comply with the <br /> Stete Contrectorn Law 1�R7 RCW and 200 WAC. <br /> f� - "j�- � �{-���! <br /> Sipneture ontr r u onze pent a e <br /> �L <br />