Laserfiche WebLink
APPLICATIO#FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 08201 x259.8810 04ff <br />0 DEMOLITION ❑ COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 3I I f) 1 n14 V7 A Q .� <br />1.— YAA AEIDI GI llr <br />Iu. PI` rIONr 51AIE LICENSE• <br />MECIIANKAE CONTRACTOR MAIL ADDRESS OTY ZIP FI , 61AlE LICENSE• <br />MUL ADDRESS GTV <br />Oy. <br />1 HEATING SYSTEM: ❑ GAS ❑ ELECTRIC 0 <br />SCR^flE MOrx A^O Sd1ARE lCOIISE WVOI�O l (,�1A411'[RSW IJq rIgR[Rp, <br />7ulir.H- <br />_ 0L� Lt ` R <br />IEGAI DESCM1PTK•1 Ptt IJgMB1 BEl0. ..ITS) <br />1013 4 YvRy_afounT 1o,_'t,. A C.H. t LFlA)c <br />A.d <br />WR9 n - 7 L4 I - r-Yn <br />LUI•. rR PX IOAN I: NMft ADWEs•; TEMP "MR <br />PLUMBING <br />NO. TYPE (J FIXTURE OR ITEM <br />� -W—ATE�R CLOS—ET O BILE' ) <br />BATHI TUB <br />_ LAVA7ORY;WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />'AUNDRYTRAY <br />nbll `� • <br />`I Si1MLK <br />_ OU <br />SE SONe <br />�. �41 AnTA <br />N Cs 1 <br />Uxns <br />PE Or CONST <br />SCE SERIAL• <br />I HEREBY CERTIFI THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAMS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHE.HER SPECIFIED HEREIN OR <br />NOT. THE PRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AN 82DO WAC <br />DAZE TE I <br />urc <br />CITY BUSIRESS IILENSE rp <br />ITT <br />UNIT <br />N W CIIECK NU W1rR <br />D <br />OYES <br />mxm:NR <br />s¢E Or BLOr.OI <br />rLUMBmG <br />BASEYENI <br />❑YfS ❑NO <br />MICIIANICAL <br />ACq TIONAI ft"CIIECK <br />OTHER <br />541[ BNlMH051111CIIAl1Cf <br />it <br />CRY OF EVERETT <br />LOCAL SALES <br />TA% CBDE IS D105 <br />nlBur. w4rKs <br />TOTAL <br />NO <br />