Laserfiche WebLink
SITE <br />LOT <br />� <br />� PERMIT APPLICA`� ION <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK <br />PARCEL TAX I.D. # <br />vi.� � D�� <br />�� <br />��� <br />�� �����-� t�of�� �i2 l�'l�ti��il�-to `�1�2'?�- 2olv-�k�-o6W� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />S�-,�.Q l c9- l�i �ze.�..e,�. 71�(, 3 k3 --oG G i <br />CONTRALTOR ADDRESS ZIP CONTR. LICENSE lf <br />PHONE ��,. p <br />ivV"�-� <br />PROPOSED USE OF BUILDING <br />rt0 L�S� ° i F� <br />[� Building (] Mechanical Addition <br />PERMIT f� Combination U Plumbing 110RK R Alteratlon <br />1YPE D Demolition U Sign TfPE D New <br />U `;prinkler � Repair/Maint. <br />CONTRACT PRICE OF WORK �O �_..� ��. <br />WORKDESCRIPTION =�f��-v ��dYL u�d�vS /�7c..�-.� <br />/ <br />%!cw 341N �'IYf�✓1�.�5_�'�%j�-+�+/ krrGy2� Cd13S d SI/71C <br />�-YIP �� y1D'^� `�.CC��y�,P.�J `1'Zf�l.�scc.� <br />N0. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHQWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHVJASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NEATS RCE <br />Electric <br />Gas <br />Other <br />CITY OF E'/ERE7T LOCAL SALF.S'A7C COUE IS 3�05 <br />ins7J�� p.�.✓ w�.�,da..S <br />f }Z'� / , `'Y�-Q.�J Gv � nvCo �.� `.' <br />NO.. � TYPE OF FIXTURE OR ITEM <br />A/C-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEAiER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GA3 PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TH'c SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIJ TYPE OF WORK WILL 6E COMPLIED \'JIT4 WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />S?ATE OR LOCAL LAW REGUTATING- � QNSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OINNER O� THIS PROP�FRfY TO PER ORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPL:' WITH 7HE STATE <br />CON�RAB'f S LAW i827 RCW ;3�20U WAC. <br />`�l' n � O�- d� 03 <br />DEBiT 8 CREDIT CARDS ARE NOT ACCEPTED <br />'/a. <br />