Laserfiche WebLink
' a :RMIT APPLICATI( .� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 88201 2Z <br /> 425-257-8810—FAX 425-257-BB57—www.everettwa.org � �Q� �J <br /> �JJ APPUCATIONS ARE ACCEPTED FRONI B AM TO 4 PM 4 <br /> SITE ADDRES� •'A�,,,,�/ TY1.I•In PARCEL TAX I.D.A P R7O � 2 � <br /> � �u��� T(/li� � � � <br /> LE LOT N0.� BLOCK TRACT <br /> D�SC. <br /> 01NNER � //rI1DDRE�� �E�D2 F PNONE � ,�yt.A <br /> � la'.F�S�Ct�,cr 9��' <br /> TENIINT NAME CONTACT FOR PERMIT PHONE <br /> I �l�"�efa.l����hcJ �2�t-75�/ -/s�'!` <br /> CONTRIICTOR DDRE9S CI7YRIP PHON <br /> dQ-Pma-�r-�a- s��'= s3 •.s�7o <br /> ��,�.U�E�.una�-yu� 9�5� 5`.�.v�/c�z, �G�'�''t.� ki�- <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eledric �es Other <br /> WORK D SC� � � <br /> . � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTLRE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> ,� Toilel A/C—air handling unfts <br /> � Bathtub 1 Forced eir systems <br /> Levetory(waeh basin) Ges piping <br /> ► Shower �L, 1Neter heater <br /> ,� Kilchen sink 8 disposal ,L Gae fireplece <br /> � Dishwasher / Gesrange <br /> Clothes wesfier ,1 Clothes dryer <br /> Laundry tray �L Range hood <br /> J Sink(servicelber/mop/elc.) _Exhaustfen <br /> Badeflaw preventer Heet pump <br /> '� Urinei Unfl Mater <br /> Drinking Fountein " Boikr <br /> _ Floor dreln _ Rahigeretlon <br /> G�aesetrep ,_ Woodatove <br /> Roof dralns �°� <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 <br /> I hereby ceritiy that I have read and examined this epplication end know lhe same to be Vue end correct. All pro�iafons oi laws and <br /> ordinar.es goveming this type of work will be complied wrih whether apedfied Mreln or nol.The grentinp o1 a pertnft does not P�sume <br /> to give autharity to violete or wncel the provision ot eny other stete or bcel law raguletlnp conntructlon or the peAertnence°f <br /> construction.Thet I am authorized by the owner o!this property to parform the work for which applkatian is�nade end I compN v�1he <br /> Stete Contradors Lew 18.27 RCW and 296.200 WAC. <br /> r <br /> � �, ��� ��%1 �� i � � .� <br /> Signature ol �ned ontrodor/ oriz gent ( ete <br /> % � J <br />