Laserfiche WebLink
P�RMIT APPLICATI�N <br /> CITY OF EVERFTT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 P� �UI ' b 37 <br /> 425-257-8810- FAX 425 257-8857 <br /> �� �� E �,��a� v«.ti �v� ���i - a�-� <br /> SITE ADDRESS P RCEL TAX I.D.M 7 M <br /> 32�oboo�op , � <br /> ESC. 2LO�i' 1O 1 ` �-.��QCK ' `�" trOY\4S OF S(SDl�V,,`�S Y � C�/ - <br /> f'lJ <br /> OWNER ADDPESOS � I�� ZIP PHONE� gq, <br /> S EL�,(� ���. I 1� G• '� ��Nom�s�rV�PR ���� 25 3�"4"� <br /> TENANTNAME ONTAC7NAME PHONE <br /> ��UGC- S��.��1 SPM� <br /> CONTRACTOR� .�+� ���� `� ADOR LP CONTR.LICENSE M <br /> P� So,���.4 ���� S�y,Goa���,t K�. <br /> P'� _7�0_339q $�yrK�u't� U Q <br /> PROPOSED��UILDING pERMIT � Sprifikleelion R Plumti ngAl W�RK .y� Reprefri/�,�ainL HEAT SE BRCE <br /> S TYPE K Demolition D Sign TYPE f�. New � O her <br /> Ll LJ <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA%COOE IS 3105 <br /> WORK DESCRIPTION <br /> Vu�J'�, '� �\�U=- �P`'�`�.\1.,� �P(EL�1'(�G �?/��o <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM NO. TYPE OF fll(TURE OR ITEM <br /> � WATER CLOSET A/C-A/HANDLING UNITS <br /> OATHTUB �_ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER � UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL �_ CLOTHES DflYER <br /> DISHWASHER � RANGE HOOD <br /> �AUNDRY TRAY � WATER HEATER <br /> � CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN T GAS FIREPLACE <br /> = FLOOR DRAIN � GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SEFVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATIO V AND KNOW THE SAME TO BE TRUE AND COflRECT. ALl <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WO'r'K WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHCRITY TO VIUTATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING C�NSTRUCTION OR THE PERFOFMANCE OF CCNSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLiCATION IS HIADE AND I COMPLY WITH THE STATE <br /> CONT ure ot Ow e �o t act r/Authonzed Ayent a� te — � ���'� S' <br /> l/z�1 � <br /> yZ�� <br />