Laserfiche WebLink
P�RMIT APPLICATI�.� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />LOT NO. � BLOCK <br />���P�-� ��-' �"'� <br />TENANT N E <br />N � <br />CO ACTOR <br />� 4� H t o� <br />PMONE <br />PROPOSED USE OF BUILDINfi <br />� �/e� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTON <br />��P/« .� �ao f <br />awMsir <br />NO. I TVPE OF FlXTURE OR ITEM <br />WATER CLOSET <br />_ BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />_ URINAL <br />DRINKING FOUNTAIN <br />FLOOR DHAIN <br />BACKFLOW PREVENT[R <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />� <br />PARCEL TAX I.D.11 <br />TRACT <br />CONTACTNAME <br />I ,�o��-fi- ����T� <br />ADORESS <br />'a�¢.�.� ir p � ���JL <br />Building AAechenical <br />PERMIT Combinelion � Plumbing WORI <br />TYPE Dert+olilior! Sign TYPE <br />Sprinkler <br />IPENMIT � <br />R �LdS-r�y 7 <br />21P PHONE <br />ii�t r%. �/8(33 ao6-.�c- yi <br />XONE <br />�06 306' 7/ y2 <br />DP CONTA. UCENSE • <br />Additbn <br />IUtera6on <br />New <br />epair/Maint. <br />MEATSOURCE <br />Electric <br />Oes <br />Other <br />C(TY OF EVERETT LOCAL lALE8 TA% CODE 18 7105 <br />�/ . <br />3 T�.� c.,.,.�.z, T'-�-- <br />NO. � TYPE OF FlXTURE OR ITEM <br />_ A/C — A/HANDLING UNITS <br />_ FORCED AIR SYSTEMS <br />HEAT PUMP <br />_ UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPIACE <br />C;AS RAN(3E <br />GAS PIPING <br />EXHAUST FAN <br />_ OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AN� EXAMINED THIS APPLICAT70N AND KNOW THE SAME TO BE TRUE AND CORRECT. All <br />PROVISIONS OF U1WS AND ORIDINACES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEF=1N OH <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 1'0 61VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOfl WHICH APPLICATION IS MAGE AN01 COMPLY WITH THE STATE <br />CONJAACi�R¢jLAyl,1827 RCW AND 29820D W.1�C. . . <br />