Laserfiche WebLink
MRR-1-2004 11:14 FROM: � T0:14252578857 P.1 <br /> � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857 <br /> SITE ADDWESS PARCEL TAX I.O.K PEFiMIT X -- <br /> Iso � �cK��crl�er �4VE ooy38�3 c�t�oar o �0� �ob� <br /> LE LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE88 ZIP PNONE <br /> sverve, solheim i�o� ���cltQr-AvE 9�z� 1 �2r zrz.rzro <br /> TENANTNAME CONTACTFORPERMR PHONE <br /> I C���[n-� ct ��4c��✓ �-E�Co Z�Z�(�'O <br /> ADDRESS LP CONTR LICENSEf <br /> �oN,H„�T� � ���vcc�r �� (�i9 <br /> w�sHirr�e� v�o.rgc� dI �y <br /> PHONE� i/ �',� ,���-r-/.. _ __�.l � �1.� WT1SI'{I ES-17I � <br /> Y � v�av►•iu <br /> VRCPOSED USE OF BUILOING BUildnp Mechanical Addlti0n HEA���c <br /> PERMIT R1..( Combinawn Plumbing WORK R{� PJleratlon <br /> �� � TYPE �..] DBm011tlon Slyn TYPE �.�] New � <br /> U Sprinwer '> Re�alrlMeint 0� <br /> GONTMCT PRICE OF W ORK ���� .�- CITY OF EVERETT LOCAI SALEB TA7(CODE R J105 <br /> WORKDESCRIPTON n� � �]�S wQ 4 r 1n��(n,� � <br /> � � c.�� i <br /> PLUMBINO MECHANICAL <br /> NO, TYPE OF FU(TURE OR ITEM NO., TYPE OF FUCTURE OR ITEM <br /> WATER CLOSET(TOILEn _ A/C-A1FiANOLING UNITS <br /> &4THTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PU <br /> SHOWER — <br /> KITCHEN SINKB DISPOSAL _ CLOTHES ORYE <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY <br /> WATER HEATER <br /> CLOlHES WASMER METAL FIREPLACE/STOVE <br /> URINAL FIREPIACE INSERT , <br /> DRINKING FOUNTAIN — <br /> F�OOR DRAIN _ GAS RANGE <br /> &4CKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICFJBAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _,_ OTHER <br /> �HEREBY CERITIFY THAT I FfAVE READ AND EXAMINED THIS APPLICATON AND KNOW THE SAME TO 6E TRUE AND CARRECT. All <br /> PROVISIONS OF IAWS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COA!PUED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE PROVISIQN OF ANY OTMER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR'HE PERFORMANCE OF CONSTRUCTION. TMAT 1 AM AUTMURIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MACE At�D 1 COMPLY WRT7 TME STATE <br /> CONT TORS IA�8.,27DftCW AND 296.200�A�. 3 l ��r�` <br /> �/VL��—�1UyYl�U � �v <br /> SI atu e of Owner/ nVactor/Aut ed Aqenl ate <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />