Laserfiche WebLink
JAN-01-Ot IO:iS FRO�FNORTlIN4/' {115SIMAR 206-3i/-OA T-116 P.02/02 F-691 <br />I�ERIVIIT APPLICA��ON <br />�^�, CITY OF EVEREIT PERMIT SERVICES <br />32r� CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />iRE AODRESS PARCEL TAX I.D. f PERMR N <br />S`da 1 So��l A,c oo�S_d �va 2v � vov ; ivlozci-ot3 <br />7„� C; . <br />TENANT NAAIE <br />N1�4 <br />CONTRACTOR <br />W£Sc�� <br />PNONE doG _ dd:- 4ioV <br />a <br />C7 NAME <br />;r, G,II+>4cv <br />ADDRE85 <br />a4ou T�.� JykY �d� <br />PM04�S <br />9ST -Gvzs <br />Dob PHONE <br />a P.� - 4?u � <br />coNrR. ucer�se+� <br />warKzcr s ��o w <br />PROPOSEO uS! OF BUILC�NO I I pBuildiny p� Mechanic�l I I �wdi�ion I HEA7 SOURC! <br />pER1�11T [] Combinetlon [j Plumbiny WORK Alwalion [� OxVk <br />Sh�R T�'PE L� �artalfUon l� Siyn TYPE Naw .pq Ou <br />U SprinMer Repair�AMiM. U qMr <br />CONTRACT PFiICE OF WORK �� ���_ I CfT�' OF EVERETT LOCAL SALES TA% CODfi IS �106 <br />WORK Dl3CRIPTION <br />_ �:^.t�i �\1 e� e 9f <br />4s 'C�.v...�c� v) y .,� P,p'^) <br />- ��ti++1l ..,< t;rcy�.a� iMc.{ <br />�nt�f.Q n�♦ n�f .en�lr Gn.l!✓ wlc�l /:✓��"1 __.. <br />N0. � TYPE 0� RxTURr:OR ITEM <br />WATER CL06ET <br />9ATHTUB <br />LJIVATORY (WASH EJISIN) <br />SNOWER <br />KITCMEN SINK 8 DI:;POSAL <br />DISHWASHER <br />IAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAI v <br />FLOOR DPJ�IIv <br />BACKFlO�:: FREVEPnER <br />SINK (SERV:CFJBAH/MOPlETC.) <br />OTHER _ <br />�• I TYPE OF flXTURE OR ITLM <br />A/C -A/FIANDLIN6 UNITS <br />FnRCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTMES DRYER <br />RANGE HOOD <br />WA7ER NEATER <br />META� PIqEPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPI.ACE <br />GAS RANGE <br />GAS PIP!NG <br />EXNAUST FAN <br />OTHER <br />I MERFBY CERITIFY THAT 1141VE REAO AND DUMINED THIS APPLICATION AND KNOW TI1E SAME TO BE TRUE AND CORR[CT. AL� <br />PROVISIONS Of LAWS AND C�RIOINACES fiOVlpNING THIS TVPE OR WORK WILL BE COMPLIED WRH NR1ETFiER SPECIfIlD MERQN ON <br />NOT. THE GFANTING OF A P'cRMR OOES NpT PRlSUME TO 61VE AUTMORITV TO VIOLATE OR CANCEL THE PROVISION Of ANY OTHER <br />STATE OR I.00AI LAW FiEGUUTIN6 CONSTRUCTION OA TME PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED OY THE <br />OWNER O� THIS PROPERTY f0 PERFORM TNE WOPK fOR NMICN APPLICATON IS MADE AND i COMPLV WITFI THE STATE <br />CONTMC'�ORS UW 18.27 RdW ANP 2Ga.200 WAC. <br />�/. a (n0�1—OI'3 <br />