Laserfiche WebLink
- -----�--------- ' — <br />PERMIT AP�LICATION <br />� C{TY O� EVERETT PERMIT SERVI�ES <br />�, 3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-a810 - FAX a25•257-8857 <br />SITE P�^occc <br />j i '� i <br />i LEGF- l0T N0. <br />I CESC <br />I i1����IGO <br />L„r d_c � � <br />-1 a�ocK <br />TRACT <br />PAACEL TAX I.D. N <br />,q a-oo I - <br />y-�Y- S <br />AERAIIT r <br />vt� c-n�! � / (o <br />��ero'Tt- �.s��.��-,�+��T� :3�0� C'��'�f �ut `i4aoi '1�,5-3o3-ii <br />TEt�ANT NA41E I CONTACT FOR VERh11T PMONE <br />� 5A�f. � �u� L.,q�vGus �-i?S'��'LS '�f� <br />� __.__---- - <br />� COrNTRACTOyR.y..LL—' /� AUDRESS <br />I Z V P�+Q I � 1�-vV S� U(� i"a 4 T� + O(% I T y 3 � O�} C o��� � I.i� <br />PHONE <br />' _�_a-s - 5ort-�5ti� _ <br />PqOPOSED USE OF BUILDING '"1 6widing <br />PERMI7 � Combination <br />i TYPE � Dem0lition <br />� � Q Spnn�ler <br />ZIP CONTA. <br />q{�� O 1 <br />u <br />?f-ecnan,cai ACtl:tion � HEAT OURCE <br />plumh�ng WORK reration E�er.rc <br />Sign TYPE L Vew ( IGaa <br />L Re�ev;�Jaint. Otr,er <br />'�I CCNTRACT PRICE Of WORK 7yQ ^ O � U ` � qTY OF FVEFETT IOCPI� SALES TAX COOE <br />{.3/ <br />� WOqKOESCRIP1iON R�p.r I RQ�n ��Px�S1"�t�G Re-.C��1'�C� <br />6v <br />� <br />� — - _ <br />NO I TYPE Df FIXTURE OR fTEM <br />_ WATEH GLOSET <br />_ BATHTUB <br />____ LAJPTORY (WASH EASItJ) <br />_ _ S!iOVJER <br />�iKITCHEN SINK 8 DISPOSAL <br />DISNWASHER <br />J+UNDP.Y TRAY <br />_ CLOT�'cS WHSF�ER <br />UFINAL <br />DRINK'�YG FOUNTAIN <br />FLOOP DRAIN <br />BACKF�OW PqEVENTER <br />_ SINK (SERVICElBAR/MOP/ETC.) <br />OTHEfi <br />NO. TYPE OF FI%TUpE OR ITEM <br />A/G - A/HAN�LIhG UNITS <br />FOFCED AIR SYS'FMS <br />NEAT PUMP <br />! UNI7 HEATERS <br />,_j_ CLOTHCS DRV[R <br />_�._ fiANGc HOOD <br />_j_ VVAiER HEATER <br />_._ METAI FIAEPU,CE/STOVE <br />FIRE°LACE 'NScRT <br />�AS FlFIEPLACc <br />_ GAS RhNGE <br />_L GAS �i�ING <br />S EXHAUSTFAN <br />OTHER ,. <br />i��EFEBY CERITIFV THAT i HAVE PEA� AND EXAMWED TF:IS AP?LICATION APJD KNOW TME SAME Tq BE TRUE AND CORRECT. <br />PRCV!SICNS OF �qWS AND CR!DINACEF. GOVERNIYG?HIS'YF£ OF IVORK WILL 8E COMPLIED W�TH WH .�i HEq SPECIF:ED HEf <br />'.OT. THF GRANiRvG OF A PEHM�7 pOES NCT PRESUME TO GNE AUTHOAITY TJ VI0�4?E OR CANCE_ THE PROVISiCN OF AN� <br />:TATF OF i.00AL LA'h REGULATING CONSTRUCTION OR TNE PERFOAMANCE OF CCNSTRUCTION. THP.T I AM �UTHORIZED 51' <br />0',1P:�ri CF THIS PROP=FT1' TO PEnFCRM THE N!ORK FOR IVHICH AaFLICATION IS MAD'c ANp 1 COIvIPLI WIT4 THE SThTE <br />c;r.,v; RACTCRS LA'�4� ! F.:^ aCY� .SND 23ti.209 rVAC. <br />(M"/ �i/lir.., i L L�/L/ //i � ! <br />DEBIT & CREpIT CARDS AAE NOT ACCEP'rED <br />OR <br />i <br />i <br />