Laserfiche WebLink
lU?7i2012 �1 a3 . . _. . _. .. ... _.. ._.__=7248 P 006/006 <br /> � PERIVIIT APP.LIC/�TiON �:� <br /> CITY OF �VERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETT, WA 98205 <br /> 425-257-8810 - FAX 425•257-8857-www.eve�ettwa.org � i <br /> APPucnTloNs ARE ACCEPTEp FROM 8 AM TO 4 PM i <br /> SITEA�DRE55 PARCEL7AXI.D.# ��R�M�Tf I � �� I <br /> :3 S�o� ,n,�, i,- � ; , , <br /> LEGAL LOTNO. BLOCK TRACTORSl10DIVISIONiiI <br /> �ESC.r � . �� CITYfGIP PHONE q <br /> , O�WJNER _ . AOPRE3S . ��/.. . vZS—Z S�Z" / �J�Z <br /> // �.SC-C ��� � �'! 6t �-- ✓ �'O� �I'6.In rr/�"'C� /���� <br /> TENANTNA`dE � I CONTACTPORPERM�T . . , PHONE <br /> � E-MAIL <br /> �� . .� IP . PHONE ' i <br /> CON—TCYU �� SS Ou��7i I <br /> �7�/�Gc�,rv ;Si+' i'3 C� ,��?li �j��L��L y�,,� �� l�Zs—ZS�—Z/�� <br /> CUNTR.tic'EN, ri � . ._ ._ .. .��D !. i�• " ' "� �� `� �Z�I <br /> � USE OF BUIL�ING HEAT SOURCE . CO�TRACT PRICE OF WORK <br /> ��r, c Eloctric �.'.Gas,_Othqr ,����f � <br /> / <br /> I <br /> � WORK DESGRIPTION - - . � -r� � <br /> nD��<�C�... . .0"�S ��?`�'�`� . .,., , . , .., <br /> ; : . l:�,. . � .. <br /> . __... . � � . . . <br /> Ip�UMBING � MECHANICAL I <br /> i Np, TYPE OF FIXTURE OR ITEtd� -- - - - NO. TYPE OF FIX7UR[OR ITEM <br /> I _ Tollet A/C-alr handlinp units <br /> Bathwb , , � Forced alr syst�ms I <br /> i � Lavatory(wash baslni � Gas piping <br /> shower r Watorhoalor <br /> I � Kitchen sink 8 disposal -- ����- �� �- �-� �� � � �Gtrs��iropiaca � � <br /> Dishwashof � ' � ' �� � Gasfango <br /> � � CloUies washef . _ Clothos dryar <br /> � Walarheatef ...._ . .__.. _ Rangehood �- � � <br /> Sink(sorvice/bar/mopl�tc.) - [�chaust(an� ' I <br /> eackllo�v preventar ____ lieaf pump <br /> . f Urinal � � � �- - � � � __ Unithoator -� � � <br /> Dfinkinfl Founlain Boilar � <br /> ' II � Fioor drain Rafrigeration <br /> i <br /> Groasatrap �� Woodstove I <br /> ' �i � hoof drains � OlhOf . <br /> I _ Otner - � = I <br /> CITY OF EVERE7T LOCAL SALES TAX COP�IS 9105 -^_� I <br /> II I hereby Cetitiry thal I have foad and oxamined this applica4on and know tho 6amo to bo Vue and CorfocL All provisions of laws'and i <br /> Iordmaces govnming this rypo of work wlll oe compliad with wholhor specified horoin or not.The 9rantinp of a pormit does not presumo <br /> �o yive authonty to violate or cancol lhe provision of any othE�r Stnte of loc:il law repulaGng construction or tho peAormanca of I <br /> � construction That I am authoiized by the owner of�hls.properry lo PeAorm tho work for whlcb application is mada and I comply tvith tha <br /> I State Coq rac s�a�v 27 RCW and 296.200 N1AC_:-.. ' ; i <br /> -`-¢--��'�'�.� . . - ll� �,-�'-/� <br /> Si�naw.�ot Ovmer/ContractorlAuthorizod Agant � pa10 � � � � • i <br /> i � _._ . �I ," i �.. i , . i <br /> , ; <br />