Laserfiche WebLink
, <br /> PtRMIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES �_�� `�3 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> l'S 3o`J- �l �- <br /> SITE ADDRE55 PARCEL TAX I.D.# PERMIT# <br /> � Zl�i �-�� -�- ��-�o9Nz2goo6oU <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. 6 q,ti� � <br /> OWNER �2H�3 A w.iru��.Es�rt.1 • �Y� S ZIP PHONE <br /> Cra�o� MaYw;S �GrG�4 ��h °c�a�`a�`� 4is- zz7- 96�0 �cl � <br /> TENAN7�NAME CONTACT FOR PERMIT PHONE <br /> �jlEM� EtS /'cB�V � <br /> CON RAC OR (:p,v YriS A�DRESS ZIP C: +'R.LICENSE# <br /> O <br /> r <br /> '�- �,��j �� �o-bo PAezr e�o33sM <br /> a`�i' rr.�j, a. �1• c�, .,,1 � wn Q307z <br /> PHONE ��a{OU-S7 - �"Jp�z1 �No <br /> Nz5- Nb5- g36`t �I�a'I�`��} <br /> PROPOSED USE OF BUILDING pERM1T �SprinRlef`ion R Plumb ngal WORK B Ateration HEAT SE ecRtnc <br /> ��r�'`��CG TYPE Demolition D Sign TYPE -u New I � Gas <br /> ;� RepaidMaint. Other <br /> CONTRACT PRICE OF WORK_�+_��n �� ' ��"} CIN OF EVERETT LOCAL SALES TAX CODE!S 5705 <br /> � � ..,.,.. � re.r �� iHcs <br /> WORKDESCRIPTION ��D�� p <br /> K-L�a��V ��w..C�-t5�p�.S <br /> ��.t,,f�t� a'— 15 �X �0 ' � <br /> _� �5� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NJ. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(T01 LET) A/C—A/HANDLI NG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISFIWASHER RANGE HOOD <br /> L�UNDRY TRAY WATER HEATER <br /> CIOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIh GAS RANGE <br /> BACKFLOVY PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOPIETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT�OES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THF. <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW1$.27 RC AND 296.200 WA�. � <br /> ��qlo3 1� � <br /> Signa ure of Ow ed tr ctodAuthon:ed Ag t Date <br /> D�°BIT & CREDIT CARDS ARE NOT ACCEPTED � �1 �C���-U( � 1 <br />