Laserfiche WebLink
03/21/2008 12:53 FAX <br />Z 002/002 <br />PERMIT APPLICATION POO' <br />CITY OF EVERETT PERMIT SERVICES t' <br />32CO CEDAR STREET, EVERETT, WA 98201 <br />425-257.e810 - FAX 425-257-8857 <br />_ / pUY,�7 -oiz <br />SITE ADDRESS TAL %YLE'1C PARCEL TAX I.D. M PERMIT A <br />a93a U)c-hnop <br />LEGA LOT NO, FLOCK i TRACi <br />DE50.r <br />OWNER AOUHESS 1P PHONE <br />C/ 7V _ <br />THNANTNALIZ CONTACT NAME PHONE <br />CONTRACTOR / ♦. ADDRESS LP CONTn. LICENSEM <br />PHONE (NCOl/.� N 57/3e.)(o� 6-AL <br />PROPCCf:O USE OF BUILDING BuilCing MeohaniCal ("� ACOI;Icn HEATSOURCE <br />PERMIT R CDombinailon Plumbing IY/CRK Allention I D ElKtHc <br />m 1YPE [[�] Duclltlon Slgn TYPE [[�� New [u� Gas <br />(J 1' Y 5 Anklet Rc aFr,hlefnt Otner <br />CONrAACT PHICE OF WORK CRY OF EVERETI' LOCAL SALES TAX CODE 19 3105 <br />WORK DECCMPTION <br />V PLUMPING MECHANICAL <br />NO. TYPE OF FIXTURE OR tTL.%l NO. TYPE CF FIXTURC OR REM <br />WATER CLOSETT �_" A/C - A/HANCLING UNI rS <br />BATHTUB cORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) HEAT PUMP <br />SHOWER UNIT HEATERS <br />KITCHEN SINK d DISPOSAL CLOTHES DRYER <br />DISHWASHEFI RANGE HOOD <br />LAUNDRY TRAY WATER HEATER <br />_ CLOTHES WASHER METAL FIREPLACErSTOVE <br />URINAL FIREPLACE INSERT <br />LRINKING FOUNTAIN GAS FIREPLACE <br />FLOOR DRAIN GAS FLANGE <br />BACKFLCW PREVrNTEr: GAS PIPING <br />SINK (SERVLCFJ13AF1M1IOF/ETC.) _ EXHAUST FAN <br />OTHER OTIiER <br />1 HEREBY CFHI iIFY I'HAr I HAVE RC&10 AND E-XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISICNS OF LAWS AND CRIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHLR SPECIFIED HEREIN OH <br />NOT. THE GRANTING OF A PEPMIT DCES NOT PRCSUME To otVE AUTHORITY TO VIOLATE OR CANCEL THE PRCVIS;ON OF ANY OTHER <br />STATE OR LOCAL LAY! REGULATING CCNSTHu CTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AU T HORIZED BY THE <br />OWNER OF THIS FHOPERTY TO PERFORM I HE WORK FOR WHICH APPLICATION IS MADE AND i CCMFLY WITH THE STATE <br />_ r NTRACi ORS LAW 16 27 RC%'1 AND 296.2GO WAG. <br />3/ of <br />31gnalure cl own r ontracla r/ Ut .ed AgFnt - ale _ <br />I <br />