Laserfiche WebLink
SRE ADDRESS <br />!0 70 8 f�r' <br />LEOA LOT NO. <br />�SO✓� <br />TENANTNAME <br />P�cRMIT APPLICATI�N <br />CITY OF� EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�, <br />CONTRACTOR <br />L Iw�.�. �o �'e n w i w�e�J <br />PHONE <br />PROPOSED USE <br />CONTRACT PNICE OF WORK <br />WORK DESCRIPTION <br />PARCEL TAX I.D. • • <br />sa 17-cny -e�R -o�o <br />TRACT <br />GUu`�U PO�I�� ��,J. � , <br />Sa.+�K 0.L Q�O J L- <br />rCO'N'TACTNAME <br />.J*"-!��""'r ^S�Tl.1 <br />" � <br />ADDRE38 aP <br />� a�.3 6 cascao(f �,�x- So. y 8188 <br />Building hbchankal <br />PERMIT Combinatlon Plumbing <br />TYPE Demolitien � Slgn <br />Sprinkler <br />�1d w,�l.�-F� s �K�ro� <br />NO. I TYPE OF FlXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SIkK 3 D13POSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />_ CLOTHES WASHER <br />URINAL <br />_ DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />N <br />PHONE <br />;tC��-�55^t")3) <br />CONTR, uCENSE • <br />cN^�"Pa,� �QcS <br />AddHbn NEATSO�:ACE <br />Alteatlo� ENcUic <br />N�w oss <br />RpekM4Mt Otlrr <br />CRY OF EVERETT LOCAL BAL�S TAX CODE p]106 <br />NO. I TVPE OF FlXTURE OR REM <br />_ A/C — AlHANDLINO UNITS <br />_ FORCED AIR SYSTEM3 <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />_ RAN(iE HOOD <br />_ WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />_ OAS FIREPLACE <br />_ OAS RANGE <br />_ OAS PIPINCi <br />_ EXHAUST FAN <br />_ OTHER <br />� <br />I HEF;EBY CERITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATON AND KNOW THE SAME TO BE TRUF AYD CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED NEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 61VE AUTHORIT' TO VIOLATE OR CANCEL THE PRJVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCF. OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTAACTORS LAW 1827 RCW AND 298.200 WAC. . <br />�fJ <br />