Laserfiche WebLink
� � <br /> , PERMIT APPLICATIC�N ', <br /> I CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 � <br /> SITE ADDRESS PARCEL TAX I.D.# PERnu7� I <br /> I Sa9 �u�'(�l'� ��- �p� �1 2' v") �' I <br /> LEGA LOTNO. BLOCK TRACT � <br /> oesc. � q (,, 3 :>7 ��LYraS F��'yr fMO� � � I <br /> OWNER AD�RESS ZIP PHONE <br /> JC�f���! D�i�,�501,/L� ��3Zl� �'-LfC l�f� F)v� �N�-fLt=T� �/� 3B 2� f <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> • /�Y1I Y�- l��o r e,(� �z..-urti^ �� �� 3 S '-1 — 2 '-t � � ' <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE p <br /> PHONE ���t�� I <br /> PROPOSEDUSEOFBUILOING pERMIT R SPrlmbiln�ation U Plumbingal WORK I--( R�epaoMaint. HEATSEeRnE <br /> TYPE D Oemolilion U Sign TYPE �l New Gas <br /> U L� Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA%COOE IS 3105 <br /> WORK�ESCP,IPTION <br /> j2cPt/k-� ��uPP��� ��F'i,tiS � <,.q-vv. ro ���Pc�n-- <br /> PLUMBING MECHANICAL I <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � 1_ WATER CLOSET(TOILET) _ A/C—A/HANDLING UNITS <br /> �_ BATHTUB _ FORCED AIR SYSTEMS <br /> �_ LAVATORY(JJASH BASIN) _ HEAT PUMP <br /> SHOINER UNIT HEATERS <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHINASHER RANGE HOOD <br /> LAUNORY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPIACElSTOVE <br /> URIN�L _ FIREPLACE INSERT I <br /> DRINKING FOUNTAIN _ GAS FIREPLACE I <br /> PLOOR DRAIN GAS RANGE � <br /> I BACKFLOW PREVENTER GAS PIPING I <br /> SINK(SERVICE/BARlMOP!ETC.) _ EXHAUST FAN I <br /> OTHER OTHER <br /> I I HERE�Y CERITIFY THAT I HAVE ftEAD AND E:(AA7INED THI&APPLICATION AND KNOW THE SAMG TO 8E TRUE AND CORRECT. AlL I <br /> I PROVISIONS OF WWS AND ORIDINACES GOVERNING THIS TYPE OF WORK 11'ILL 9E COM°LIED V11TH WHETHER SPEGFIED HEREIN OR ii <br /> �� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM1IE TO GIVE AUTNORITY TO VIOWTE OR CANCEL THE PROVISION OF ANV OTHER � <br /> � STATE OR LOCAL LAW REGUUATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT t Ald AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR N�HICH APPLICATION IS MADE AND I COMPLY WITH THE STATE , <br /> I� CONTRACTO \N 1827 YJ-AND.96.200 WAC. 'I <br /> � � — �0- � `9 <br /> Signature of Ow IContractDr'/Authonzed Agent Date <br /> ' DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />