Laserfiche WebLink
/ <br /> __ � j <br /> _ - -_ _ _ ___ <br /> . ---- <br /> '� PERMIT APPLICATION 1 <br /> CITY OF EVERETT PERMIT SERb'ICES I <br /> 3200 CED�R STRE�T FVERETT WA 98201 7 �-���/O <br /> I 425-257-SB1U �'AX425-25i-8857 -wwweverettwa.org �/Q67�1/�// <br /> APPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / <br /> . SITE ADDRESE � PARCEL TAX I.D. A � <br /> n PERMIT p <br /> _�L;_i_z�_� ,ti� ICc� i. _2��� 1�.0920�10���_`g IWb-048 <br /> LFGM I lOT NO. 8l OC,' _ � ' .RAC' ��7 S�t DI\'$IJI:: <br /> ncsc. � <br /> —J_ - --- -- - - <br /> j OWNER —_--_ � . 1 . __ _ . .._ __ _ ' _ <br /> . AODRfSS�� Cliv/ZIP PHONE <br /> jTENANT NAME ' CONTACT FUR P RMI PHONE 'LU{o (,� "�j� 0 y <br /> �ll� � �. <br /> �/ M,k.c. � #�t]iJ � �t�� � � �_ _ e�n+a� S !-t �awS N.(�,a <br /> � ��.hfi..?.i f �i T"- �D RF n I YI �{I� <br /> �(�� Cut.,SlY1+rtn.. 1_l.i Y �-'�'��X ��� 'YlvrusAM.c �t�'os( 42��Ir3-/�'! <br /> I CONTP..LICENSE s ' <br /> , �> ;L� > > � � <br /> � <br /> l l �_ '_ _<� �%C' _�'-- -- �=`���il <br /> I USE OF BUILDING � E �- fiEl." :OURCE CONTRACT PRICE OF WORK <br /> � _ rlr-r.t•�c ,as Other I `.p LJ G�,p ' <br /> --- ---�--- �- -- �---- - _ _ . _. _. - -��---- <br /> . _ _' ____ .. .. . . . . _----- - -- -----`--- <br /> WOZR GcSCRIPTION <br /> ! n � ,�_ .,, <br /> I -` .�-.��e�_ . �- N��n-�` w✓�-,-�.-n- c_��, L ti � <br /> - - -- - <br /> - ---- <br /> - --- _ _ _-- - <br /> , PLUMB!"'; MECHANICAL <br /> NQ I TVPE OF FU(TI/F=(�R ITCM ' NQ. � T'/PF OF FlX?URE OR ITEM <br /> ' — _ ____ _____'___' ____.___._..-�- <br /> �i, _ Toilel � Ai::-aa handhn�umt5 <br /> � -- BathtuS . _� rr�etla��systerns <br /> � _ . 1 avatnrv ,�,a�r� nasin) i i;as pipiny <br /> � Snowrr Wa�er r.eater <br /> ___ Kdchen s�ok 8 d�sposai I Gas 6replace � <br /> D�.chwas`�e� — <br /> — Gas raage <br /> � __ Clo�he5 H'Asher I ClothES tlryer <br /> ', __ _ Water heater � Ranne haod <br /> ' S�nK;sen�..�elbar,m�:,�ek ____ Ernacetian <br /> _� BackBow p�eventer Heat pump <br /> �' Un�ial � Un•t r,eater <br /> �_ Ci�niMi��g `uuntBin Rnvar <br /> _� Roortlram � ketngerauon <br /> -_ � G�ease rrao ' —�� lVoods!ove <br /> . ._ � Fco'arar�s ! Utner <br /> __' UYiar_.___ _' __ <br /> ' '_'_ _'_'." '—___'_______.'_ _--_ <br /> �' C�T`;UF EVFqETT LOC,U.',AtE9 TAX C]OE IS:106 <br /> __'—__.___._____.____--____ _ —.._ _ __. <br /> I �h@fEC� ^.C^,,O �I��il�hA:2 fQBd BOd EFdTIf1P.d Ihi�d�'{,.Og'ip^g.•,; n.r.p�,-��+e SB?E "�^.P:�U:8fltl COAEGI All provisions of laws antl <br /> ; ordin�^��r•s�p�er�.��ig ,k•s tyDe o`•,�-��k w�ll be r.cmi,:�r^wn�:�sr«h�..�i 5pea5,_n hr�r.�� o�ro( The crant�ng o!a permd does not presume <br /> ; to g�c- :,.�,.,cr��v r. ,.-�..�e or cance�Lie prow�i�= ct a.,,-oP�.e� si�.�_ :�, '�,�3�12w m��. ';•ng canstniction or the performance ol <br /> constn;�.rn P�ut I am authonzed by tne owner ol mn proor�y tc eerform the No � �-r �,� -�, appl,cation is made and I comply with the <br /> , SIakC P_�•r.r,: : � A�fiRCSN""�.96?COItiAC <br /> � �__ ��—��� � <br /> � Sign;LrPolf�wr�r��^�•tractor/Autho!�::etlAgent - — DBte I <br /> _. . .. . . .. _---. <br /> - --- -- --J <br />