Laserfiche WebLink
� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI�.ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAI(I.D.N PERMrt• I <br /> ZvS C ,ti R.r.l- 12Z�tv4yUv9vvo3 �'LCJ3�d—Of� <br /> LE6A LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE88 a0 PHONE � <br /> 1 <br /> � i � .�o� �v�ierts ZOS CRs,h o �l, S�. fe IZ E✓a-��t 9Y�� <br /> TENANTNAME CONTACTNAME PMONE <br /> Casa �L �ora�v I Q�II ���� (uz5�3yy- y9y6 <br /> CONTRA1CTOR ADDRE88 DP COHTN.IJCENSE• <br /> a4CM c�h5trl.wt��ti �.6- � <br /> PHONE I <br /> PROPOSED U8E OF BUILdNO BUildinp MBchnnlccl Additbn MEAT 50URCE <br /> PERMIT R Combinetlon Plumbinp WORK B Al�entbn � Elxfrfc <br /> TYPE D Demolilion Slyn TYPE D New de� <br /> D Spdnkler(M ol hedda) �� Rewi�n�.nn. on�� <br /> CONTRACT PRICE OF WORK I/ �� CfTY OF EVERETT LOCAL 8ALE8 TA%CODE 18 3106 <br /> WORK DEBCRIPTON n I L��M <br /> SNS�.�� �'IJCG� ?Q✓ �. i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE ON REM N0. TYPE OF FlXTURE OR ITEIA <br /> WATER CLOSET(TOILET) _ A/C—AMANDLINt3 UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNIT IIEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES ORYER <br /> DISHWASHER � RANOE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL __ FIREPLACE INSEHT <br /> DRINKING FOUNTAIN !_ OAS FIREPIACE <br /> FLOOR DRAIN OAS RANOE <br /> BACKFLOW PREvENTER _ CAS PIPIN3 <br /> SINK(SERVICE/BAR/!'OP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBV CERITIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND KNUW THE SAME TO BE THUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES 60VERNIN6 THIS TVPE OF WORK WILL BE COMPLIED WITH VJHETHER SPECIFIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 61VE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY 0TT1ER <br /> STATE OR LOCAL LAW REOULATINQ CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8V TME <br /> OWNER OF THIS PROPERTY TO PEAFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITM TME STATE <br /> CONTRACTORS�W�18.2'�7 RCqW AND 296200 WAC. <br /> Zv�� C✓ Z � 7 — � <br /> ignature o wner; ontradorlTwthorized gent ele �a <br />