Laserfiche WebLink
II <br />I <br />, SI7E ADDRESS <br />L�GAL LOT YO. <br />C�ESC. d, <br />OWNER <br />�� � <br />C �� 4 �,,. � � � I <br />TENANTNAME <br />` -- _ 4. <br />P�RMIT aPPLlCATION <br />CITY OF EVERF_TT PERMIT SERVICES <br />32Q0 CEDAR S'rREET, E`JERETT, WA 98201 <br />425-257-8810 - FA;( 425-257-8857 <br />BLOCK I TRACT <br />icONTRACTOR � }I` (",,,sl�,.�i�� <br />PNONE <br />��21 ;ii S��ti� <br />PROPOSED USE OF BUILDING <br />S�AjC�t� I�AM`LY <br />i� l�rj�c�t��<< -- <br />I CONTRACT PRICB 0F WORKs <br />PARCEL TAX I.D. # <br />,..� _,,..c _,,_� _ <br />44 <br />FOR PERMIT <br />� C.h��� �I..�ki„�,1 _ <br />n ADDRESS <br />�svc, 3s -t,.i .. t1 �6 ��> <br />PEFjM1T z , <br />� ��lf�-�3 <br />Si1U�a�� if5 CG. V/� __ I <br />ZIP PHONE <br />� I�y,�...s.J s3 J;% _ i <br />PIiONE <br />� <br />'�T 31�1 -5�'1 > �' <br />ZIP CONTP.. LICENSE # <br />L�nn�,.....�,,,���3) �.ii�i�(J+M1�'S%Z�� <br />(((yyy���jjj Building �] Mechanical Adaition HEAT SOURCE <br />PEHMIT j� Combina:ion U Plumbing WOI2K R Alteration � Electric <br />nPe n Demolilion L� 3ign TYPE �� New Gas <br />� Sprinkler d Repair/MzinL Olher <br />--�CITY OF EVEREIT LOC�L SALES TAX CODE IS ]705 <br />WORK DESCRIPTION <br />1/JT�R�oP� PaR7�'�'t0�5 G,�,���� (G) NEw S�orzAc,,� rz-rz�h�ts w�r� <br />A K�T�-N�-rJ. S7��AGE �2ooM5 IJuT T� i3E �SEo A5 R�o�2�oM5. <br />f_.r�,I.r�l '.nF..�.,,� w�.11 S 1-� e�id�) .�VC;f�ln� Cir�ei✓/C il� k'_xIST'IIJL'r ��✓1�.-�wt ItJ. (� <br />irwm�sini: <br />NO. TYPE O� FIXTURE OR ITEM <br />' _ 4VAT[R CLOSET (TOILET) <br />j _ BATHTUB <br />' LAVATORY (WASH BASIN) <br />I SHOWER <br />' KITCHEN SINK & DISPOSAL <br />�i ' DISHNinSHER <br />� LAUNDRYTRAY <br />� CLOTF;ES WASHER <br />URINAL <br />' DRINKING FOUNTAIN <br />� FLOOR DRAIN <br />I BP.CKFLOW PREVENTER <br />I SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. TYPE OF FIXTURE OR ITFM <br />A/C — A�HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATFRS <br />CLOTHES C�YER <br />Z RANGEHOOD <br />WATER NEATER <br />METAL FIREP�CE;STOVE <br />�IREPLACE INSERT <br />GAS PIREPIACE <br />OAS RANGE <br />GAS PIP!NG <br />EXHAUSTFAN <br />� <br />i HEREeV CERITFY THAT I HAVE READ AND EXAM�NED THIS APPL:CATION AIJD KNOW THE SA;dE TO BE TRUE AN� CORRECT. ALl <br />PRCVISIONS OF LAWS AND ORIDINrCES GOVERNING THIS TYPE OF l'JORK WILL �E C0��IPLIED WI i H WHETHGP. SPECIFlED HEREIN OR <br />'VOT. TNE GRANTING OF A PERM11iT DOES NOT "lRESUAtE TO GIVE AUTHORITY TO VIOLATF OR CANCEL THE PROVISION OF 'rNY OTHER <br />STATE �R LOCAL LAW REGULATING CONSTRUCTION OR THE rERFORM1AARCE OF CONSTRUCTiON. TMHT I AM AUTHORIZED BY THE <br />O'JJNER OF THIS PROPcRTV TO PERFORIv1 iHE WORK FOR l'VHICH F.�PL.Cf.TION �5 FdADE AND I COMFLY 11'iTH THE iiTATE <br />UONTRAJTORS LAW 18.27 RCW O.ND 296.200 WAC. <br />UEBiT & CREDIT CI;RDS ARE NOT ACCEPTED <br />(Z <br />