Laserfiche WebLink
i � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR STREET,EVERETT,WA 98201 <br /> 425-257-8870-FAX 425-257-8857 <br /> �ARGEL TAX I.D./ ��17� <br /> SITEA�DD�Z �� �� �� ��7Qd /ho3ra-o 3 <br /> v(J <br /> LEGA lOTNO. SLOCK T��T <br /> pESC. <br /> " /z0 2 cc✓l•rJ �1'�'� q�v! `��"2�`'`�� <br /> �N� PDrG 1 U�U �Ci .HOHE <br /> TiNANTNAME I CONT�CTFOR�EMAR <br /> r ' IADDREES ZIP CONTR•LICENSE� <br /> `w"��i�� 7�b`��va� •�'�� p�`!-tl�'K/cl'97 <br /> PMONE �V L C / <br /> PROPOSED USE OF sU1L01NG Buitding Mscfianid) I �AdA�tlon HEAT fWRCE <br /> PERMIT � Combinatlon Plumbing WORK AIIwaUan � ENab�c <br /> TYPE Demolitlon SiO� ME New �� <br /> Sprinkbr R�potrMlalnl. � <br /> CONTRACT�RICE OF WORK CITY OF EVERETT LOCAL�ALES TAI(COOF R�105 <br /> WORK DESCRIPTCM� � �� /� / ��L__ A //�C�n�� <br /> `1 L�V�/i{�j� � W e✓' <br /> / <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXNRE OR IIEM N0. TIPE OF fl7fT�RE OR�N <br /> WATER CLOSET(TOILET) _ aC-NHANDLINO UNITS <br /> — �TM�B FORCED AIR SYSTEMS <br /> — LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER _ UNITNEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> IAUNDRY TFAY Z WATER HEATER <br /> CLOTHES WASNER ,_ METAL FIREPLACElSTOVE <br /> URINAL _ FIREPUICE INSERT <br /> DRINKINO FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RIINGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERV!CE/BAR/MOPlETC.) _ EXMAUST FAN <br /> OTHER _ OTHER <br /> i MEREBY CERITIFY TMAT I MAVE READ AN�EXAMINED THIS APPLICAiION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVi510NS OF UWS AND ORIDINACES GOVEFtNING THIS TVPE OF WORK Wlll BE COMPLIED WITH WHETMER SPECIFIEO NEREIN OR <br /> NOT. THE GIiANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORIIY TO VIOUTE OR CANCEL THE PROVISION OF ANY OTMER <br /> STATE OR LOCAL lAW REGUUTING CONSTRUC7ION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI7E0 8Y THE <br /> OWNER OF TH19 P0.0PERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTR/�G�TORS LAW 1 E. CW AND 296.200 WAC. �LJ /�� � ��� �� <br /> /10•1-i�� v�/ <br /> �/1i1�� C <br /> i alu o nerl ontractor u zed Agent ate <br /> OEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> T'd G588L5252bt�Gl <br /> :woad ee�ea saez-e-�3o <br />