Laserfiche WebLink
� <br />�� <br />SITE ADDRESS <br />�1 vS caH�rsi- q <br />LEGA L07 NO. <br />DESC. �� <br />OWNER <br />i9ciRih- EVr�. <br />TENANTNAME <br />CO'nNTRACTOq <br />�'7/�iiY E:N'�'. �.LL, <br />PHONE <br />�125 " '7 �> 3 - l 7 <br />PROPOSED USE OF BUILDING <br />��FR. <br />CONTRACT PHICE OF WORK <br />WORK DESCRIPTION <br />SFR <br />( r�ERMIT APPLICA'�ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR ,�,TREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />N0. � TYPE OF FlXTURE OR REM <br />BLOCK <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER, <br />KITCHEN SINK.& DISPOSAL <br />DISHWASHER � <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAI. <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />PERMIT <br />TYPE <br />PARCEL TAX I.D, M <br />� 1�to N3b -cx�3 -vo8-oo <br />iHACT <br />SP ��q-qR' <br />vc <br />CONTACTNAME <br />G'l� <br />PMONE <br />I L-��, 4<S►<.� bz�- �y3- /p'1P' <br />ADDRESS ZIP CONTR. LICENSE I <br />17�3L 3St''r�c SE �fi,,.,l! <br />Combfnatfon <br />Demolition <br />SpMnkler <br />�Mechonical <br />Plumbtng <br />Sign <br />� <br />�'8b12 wRwtREL03ZCl <br />Addilion HEAT SOURCE <br />Alteretbn lectrlc <br />New Oas <br />Repalr/Malnl. Other <br />CITY OF EVERETT LOCAL SALES 7AK CODE IS 3105 <br />J�J l�-1�un./ <br />Z/12- A <br />NO. � TYPE OF FlXTUqE OR ITEM <br />A/G — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPWCE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />1 HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND NNOW THE SAME TO BE TRUE AND COflRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATIN3 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW ANO 296.200 WAC. <br />Signature of Owner/Contractor/Aulhorized Agent Dete <br />