Laserfiche WebLink
Jun-27- 11 07 : 33A P.02 <br /> .._._ _.. _____—( — ... __ _—_ _.._ <br /> i PERMIT APPLICATION I <br /> I CITY OF EVERETT I?ERMIT SERVICES <br /> I 3200 CEpAR STREET, EVERE77, WA 98201 <br /> 425-257•0810 - FAX 4Z5-25�•8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM G � a��\I <br /> SiTE A�pRESS PAR�EL 7A7C I.D.A �PERMIT It <br /> �}l� 2 ""v./�,- S� _�� � i OL� -� <br /> '� �L�FL LOT NO. BLOCK TRACT OR Sl13DIVISION M <br /> , ��s�.� <br /> OWNER -.� .. . ._ . ._- AD�RESS C11Y21P �PMONE <br /> iC. vr�a�y� .Tit�<_s�'•� lYO� Z.-,.IO.- S'�` �vi.u� �/8'T_p br 'f�s- �33' �9g� <br /> I TENANTNAML' I CONTACTFOIIPERMIT PNONE <br /> I E�MNL <br /> CON7RACTOH -� AD R �5 �/j CITYI ��— PHONt � <br /> � �1J/./rl�Yl• ✓9�r5' Y Sfi�'.•t J6�� 6�ri�.','/'f �j '1 / <br /> E` ��e. �s i/1 j -2i"5-�. �/ <br /> I cor(Tft. ENSE tt I <br /> �41s_fA/�fG�7z-.�..Z --•---- y�`�°� � <br /> - - ._ . <br /> ', USE OF OUILDING I1E<,T SOURCE CONTRACT PRIL'E OF WORK <br /> L Elecirit Gas_Oiher � <br /> I %�N f... . _ yL Ts` µ <br /> IWORKOESCRIPTIUN � ��� � I <br /> ptC fIt<,s �,t�,fA� I <br /> � <br /> �PLUMDING � MECH,4NICAL <br /> NO. �fYP[ OF FIXTURE OR 17EM NO. IYPE OF FIX7URE OR ITEM � <br /> ___ _.." --.. __'— Y � <br /> Toilrl A/C-air han0iinp uniis <br /> II , Bnthh�b Forced air s stems <br /> � . � �aeatory (�vash uaain) Gas piping <br /> _. __ S,huwnr Walerheater <br /> _ Kitthan ar,ik 5 dixpo^�I Gas fiieplaco <br /> � _ Disliw,�sher � Gas range <br /> � _ Clulhes�nasher � Clptho5 dryCr <br /> �, _ �Vaier he:der Rangp hooC I <br /> ' ,_. Sink(seivice�baumupinlc.) —� Eahausltan <br /> � _. tl�cktlo�v rra��enlei � He3t pump <br /> _ Urinal Unil heater <br /> ,___ Unnkinq faunlain — Baller <br /> ! Fluor drain — <br /> �� — Rnfrl�er�Yon <br /> i _ Cieuselnp 1NooUstove <br /> RUuf drains — <br /> — Olher <br /> � �'lthei , — - '.— <br /> _ _ — -- � <br /> ' __ GTY OF GVERE7T LOCAL SALES TN({;UDE 19 NOS ! <br /> I I�yi�Uy cerilAy th�t I havu reaJ �nd pvaminei'Ihis application and know lho same lo ba t�ue and currecl. All provlsiuns ol laws and <br /> orn.ii.,;a5 c�uverninc�ihis type of worh�wll bc•conqdieC wAh whoth�r specihatl hureln or nol.Tha granliny ol a pern.�l Jues not prosume <br /> in gi��i aidhunty to vmlate pr c�na:l Ihr.pioeision of any olhvt sta�e ur lacal law regulaliny construclion or�ho portormance uf <br /> Consfruclmn. l MI I �m ai,�hunzuA by thF ow�1e�u(this �roporty to p-erform Ih�work lor which appllcalion is mado and I complr wdh lho <br /> I St.le Cynl � ars L aw 27 RCW anA 790.200 INAC. �. <br /> //�/ I <br /> � �� ...C�//'L� ` / _ C' l 7"�/ � <br /> Sipn;�0.uo ot Own��/CunU�clorlAuthOn2ed/lgent Date I <br />