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 <br />SITE ADDRE S PARCEL TAX I.D. A REIMT <br />30 � SE �Ue+.e44 b,"14/ I � 0!5_ 1Fool o (/3 ay I N\ AU� <br />LF" LOT NO BLOCK TRACT <br />ur rNUNG <br />�cycJ fau 'ef Soy Jt eln,r,44 M,,/(30 <br />WANT NAME CONTACT FOR PERMIT PHONE <br />0� 1- 011 �WA t0 l yLl >�hiY.S�%t w <br />Cw ek ins 1, _ � hn,it� ef ` �, 1 ADDRESS I Q � �,/� � ZIP CONTR. LICENSE N <br />lf <br />PROPOSED USE OF BUILDING 9gNdi v M <br />I PERMfi ComoRbo on �0: <br />TYPE DHtmoNlionSIBn <br />Spdnider <br />1F�( AddMm HEATSOURCE <br />F-( NW9Wn D EI*c* <br />� <br />LU.1 Nam, [u� au <br />_ ReRWL oGaw <br />CONTRACT PRICE OF WORK ' �(�Q 1 — CIOF EVERETT LOCAL SALES TAX CODE 18 7106 <br />WORK DESCRIPTION <br />y s 7a 9 us bj Ae"�k' C�4 <br />NO. I TYPE OF FIXTURE OR ITEM <br />WTER CLOSET (TOILEM <br />THruB uBLA VATORY (WASHH BASIN) <br />SHOWER <br />KITCHLJdSINK&DISPOSAL <br />DISHWASHER <br />_ LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />_ DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACITLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/E-jG.i <br />_ OTHER <br />NO..' TYPE OF FIXTURE OR ITEM <br />��—wr NULINU UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CEOF LAWS RITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KWOW THE SAME TO BE TRUE AND CORRECT All <br />NOT. THE PROVISIONS <br />G OF q PERMIT GOES NOT PRESUME TO GIVE AUTHOORIDINACES GOVERNING THIS TYPE RITY TO VIOLATE OR CANCELTHEPR SPECIFIED <br />IN O OVISIONOF ANY <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTR!(CTORS LAW.18.27 RCW AND 2982nnw P <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />£'d LS88LS2S2bT:01 <br />:WOJ.i 12:80 INW-ET-Nt)f <br />