Laserfiche WebLink
09/29/2010 14:13 4253354226 RIGHT ON FfATING PAGE 02/83 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E'1/ERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-88ST-www,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1 D ' 1 g �/D <br /> SITE ADORl�S PARCEL TAI(I.D.� <br /> 9os B e�._,, ao 3 / a o 6 n�� - c�a <br /> �eon �orMo. e�ocK nucraeausawawn�e <br /> oEsc. �e. a <br /> e � c��n .Sii�{ov �0 ,BaX ota��� S�a�/c, <br /> 1fN41TNAYE �MdIQQ ORR%j- CONTACTIORV�pIfT <br /> tiof'os 6. Sf'a�Z I �e n n�s lc�� e �e �.�s'' 97/- 3Sl33 <br /> ��rt G„ /�e���'.► �a�3-i3i"�v E �k� 9P�cs-8 / <br /> coMrn.� si r R�G f'�Tff/�88e IYj �j/.ZS-,�.35- `rotE <br /> v�nS <br /> usE oF eUILaN3 HEAT SOURCE c�CT rRICB aF WORK <br /> �crnryte�e�.lc� ,E� ✓,._�� 3a0 <br /> WORK DESCRIPTION <br /> gat5 n iP in 4 fD nr w /Yjtrt� �jP,nG 4�a�+ecQ by/ l�SE, <br /> 0 � 0 a' <br /> LUM <br /> E IC <br /> NO. 7YP[OF FI%iLRE OR REM �. <br /> TWE�F RDtTURE OR REY <br /> _ Bathtuh _ aC-a�r hendlinp unit{ <br /> � La�ntory(wash bazin) F����sn�s I <br /> , Shower � �as P�P�^7 SG'C (Ut�o cJ <br /> _. Kitchon sink d dispasal — Wa��� <br /> , Dishwasher _ Ges firoplace <br /> _ �lothes washer �. Gas�ang� <br /> � Water heater � Clotlpg dry�t <br /> _ Sink(eeivicrJhaqmqvetc.) — Ranp°h°°d <br /> _ Badcflow preveMer , Exhaust fsn <br /> � Urinal _ H�et pump <br /> _ Dnnking Fountain _ UnR heAl�� <br /> _ Floor drdin _, Boikr <br /> ^ Greaxlrep — RQmy'r°�'on <br /> _ Rooldra(ns — WO0��0`� <br /> � Other = ��� t W�C�l'K <br /> citr of�Rerr�oc�.s�es r�x eooe a a�oa <br /> I hefeby pr(i�y that I heve read End examinW this applieation and know the aemv to pe p�e end CoriecL /��proylgjorn of laws pnfl <br /> ordinences govemirg th(s type of wo�k wi11 yp�p�j�yµ�p�y�,he���specifwd hereln or rrot The Or+Mlnp of a permit doq not prosurtw <br /> to give authoriry to vidate or cancel y�Provisivn of any othw sMte or loal IaW�+tgulatlnp construdion orth�perfo�,nance of <br /> construction.TTiat I am authorized by the ownor of this property to pertortn th�work{o�wh;eF��pp�;�a��g mede and 1 mmpy with�he <br /> Sta ConhaCtors Law 18.27 R and 298.200 WAC. <br /> Sgn• rc of Owner/COMractodAuthonz � a �`/d <br /> Agent g <br />