Laserfiche WebLink
( {" <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> - 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810—FAX 425•257-8857—www.everettwa.orp <br /> APPLICATIONS ARE ACCEPTEO fROM!AM TO 1 PM � —" �� � �b <br /> 81TE ADDRESf PARCEL TAX I.D.R PERMIT N <br /> LEGAL LOTNO. lLOCK TIIACTOIIW�DIVIfION• <br /> OESC. <br /> Y IP PN N <br /> IDw� Le1�Sr2Du1. Zb03 Nl9.� {� J,_, 252- <br /> TENANT NAME I CONTACT fON PERMIT ��\ /MQ11E_.�'�y <br /> � ZSL <br /> C.G e.Mu� a.�o 5/�►�..r.,' <br /> �=�fslo(IL-7.�u �`fb �'4E�tC��C 2.1 Zp I�-c�c. (�1r ( (4'15�25?3114� <br /> coutn.uceHSE� �vC=(zd 5 SGZZoT <br /> USE OF SUILDINO I MEAT WURCE I CONTpACT PRICt OF WORK <br /> k' Electrlc _Oe�_Other g�� � <br /> WORK DESCRIPtION C�t�1,�dQ �f - �,.,� T�,, N�.-�- ,�� �.�,,� <br /> � <br /> U <br /> N0. TYPE OF FIXiURE OR I?EM H0. f1'PE Of FUfTUIIE OR ITEM <br /> __ Toilet _ AIC—eir handling units <br /> _ Bathtub _ Forcad eir eystema <br /> _ Levatory(wesh basin) _ pas pipinp <br /> __ Sn�;ver _ Wetarheeter <br /> __ Kilchen aink 8 disposal _ Ges fireplece <br /> ___ Dlshwasher Oes renpe <br /> ____ Clothes washer _ Clothes dryer <br /> _.__ Watnr hoater Renge hood <br /> _ Sink(service/baqmop/etc.� Ezheubt len - <br /> __ Beckllow preventer = Heat pump CIZc�F To� (-�N�T) <br /> _ Urinel _ Unit heater <br /> Drinkfnp Fountain Boller <br /> _ Floor drain _ Refriperetion <br /> _ Greeso trep _ Wootletove <br /> Roof drnins Other <br /> Olher <br /> I <br /> � CITY OF EVERETT IOCAL BAlE9 TA7f CODE IS�70! <br /> I hereby ceritify that I have read and ezaminod ihis epplication end know the seme lo be true end correct. A�I provisions of laws and <br /> ordinaces governing this type ol work will be complied wilh whether specllied herein or nol.The granting of a permit does nol presume <br /> to give author�ty to violate or cancel lhe provision of any other etate or locel law repuletinp construction or the per!ormence of <br /> construction.That I am outhorized by tha owner of this property to parform the work lor which applicatlon is made ond I comply with Ihe <br /> Stato Contra or Law 18.27�d 2g6.200 WAC. �/ �/�O <br /> (//�b <br /> Signature ol wner.� ontractor! uthodzed gent �e <br />