Laserfiche WebLink
SITE AODRESS <br />S'ZO SW <br />LEG.1l L07 NO. <br />P�RMIT APPL,ICATICy�� <br />CITY OF �VERETT PERMIT SERVICES <br />3"c0^ CEDAR STREE s, EVERETT, WA 98201 <br />�125457-8810 — FAk 425-257-8857 <br />STE. 149 <br />�v,�w-�i'r w�,.i� �Jf <br />BLOCK TRACT <br />PARCEL TAX I.D. A <br />s <br />�P w�'S� '�2p g. w. �'t1�'vL�T'T wia� wY. <br />TENANTNAIVE CONTACTNAME PHONE <br />E� wY SE S�^A`' ���'-�� Zo6 2_23112Z- <br />LONTiL1CTOR �J��,�2T <br />PHON�0�2ZZj 1�Z�L. <br />PROPOSED USE OF BUILDING <br />� ��.�.,-�� �'1�'�` �-- <br />AODRESS ,�L AVc. S . <br />2't3� �x�c ip�,,+ <br />s.�-F-{-Ic , Wa. 9 3i3'� <br />Building Mechanical <br />PERMR B Combination Plurnbing <br />TFPE D Demolition �$ign <br />U Sprinkler <br />CONTAA� PRICE OF WORK ��� �� <br />YIORK DESCRIPTION <br />t N S✓�,-LL ar-+� �,}a {,l. S � Czrl <br />� NO. � TYPE OF FlJfTURE OR REM <br />WA7ER CLOSET <br />BATHTUB <br />_ IAVATORY (WASH BASIN) <br />I _ SHOWER <br />I KITCHEN SINK 8 DISPOSAL <br />� DISH'JVASHER <br />_ LAUN�RYTRAY <br />_ CL07HES VJASHER <br />_ URINAL <br />DRINKiNG FOUNTAIN <br />FLQOR DRAIN <br />BACKFLOW PREVENTER <br />_ SINK iSER� ':E/BAR/MOP/ETC.) <br />OTHER_ <br />LP CONTR. LICENSE N <br />"r�'3 tAi)�3��c� S <br />�tltlitbn <br />Allerntion <br />oty:_---• <br />Ropav.'Maint. <br />HEATSOURCE <br />�Eloctric <br />Ges <br />Other <br />CfTY OP EVERETT LOCAL SALES TAX CO�E IS 3f 0'a <br />NO. I T'/PE OF Fl%TURE OR ITEM <br />NC —AMANDLING UNITS <br />FORCED AtR SYSTEMS <br />HE�T PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <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 HEREBV CERITIFI THAT I H4VE READ AtJD EY.AMItdED THIS APPLICATION ANO KNOW THE SAME TO BE TflUE AND CORRECT. ALL <br />PROVISIONS OF L4YlS AND OfiIiJIFlACES GOVERNING THIS TlPE OF WORK WILL BE COMPLIED WITH WHEfHEF SPECIFIED HEREIN OR <br />riOT. Th�E GRANTI^�G OF A PERtAIT DOES NOT PRESUTAE TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF AIJY OTHEFi <br />STATE OR LOCAL LAY! aEGULATING CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZ[0 BY THE <br />OVJNER OF TMIS PROPERTY TO PERFORId THE WOtiK FOFi WHICri APPLICATION IS MADE M1D I COMPLY WITH THE STATE <br />COhlTRACTOPS LFYJ iB.27 ND 296.200 WAC. <br />li�� —� S 2� • �3 <br />DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />