Laserfiche WebLink
� - •� <br />[Td <br />DESC. <br />T0:14252578��57 <br />'—( 1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREff, WA 99201 <br />428-257-8810 - FAX 42b257-8857 <br />SLpCK <br />)o�v� Novh4hn <br />TENANT NAIdE <br />G�ji°" � y�'S � �%►1/[t.e/' <br />PROP09E0 USE OF BUILOING <br />OF WORK <br />WORN OESCRWTION <br />.�nfh-c I <br />��R <br />me <br />►., <br />� <br />NO. I TNPE OF FIRNRE OR ITEM <br />WATER CLOSET (TOILE� <br />BATFiTUB <br />IAVATORY(WASH BASIN) <br />SHOWEIi <br />KITCHEN 91NK 8 DI9P09AL <br />DISHWASHER <br />LAUNDRYTRAY <br />CIOTNES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOQR DRAIN <br />BACIffLOW PREVENTER <br />S�NK (SERVICEIBAR1MOPfETCJ <br />OTHER <br />/�J� PA/R�CEL TAX I.D. / <br />�`�� `7 �w'i Nl /1 <br />y <br />�,"�'f'. n�( <br />,.a.� w� <br />CONTACTFORlER <br />Ll /?l(c <br />AOD11Et� <br />� <br />�d� <br />j� Bu11�1Q <br />D Comdnatron <br />❑ D�rtqRtlon <br />U 9pnnkNr <br />r <br />P. 3 <br />PEAAfi/ :. :. . _� <br />�E2S 3S�s �X � <br />�� ( V`{� jIP YY1��R YYi1�Yr. � <br />��,x. c.� G�/ L J 71v8 <br />MeUuNcel Addlbn N�sOURCE <br />PlumDinp 1M�RK B �.�^ �k <br />�pn nve D ruw � <br />D np�rnarm. omN <br />CITb OF EVERETT LOCAL �ALE9 TAX COOE q 1105 <br />,�CQ4f Ou �P <br />(Q430iU X oy8 - v <br />�� <br />Mp. � TYiE OF FI:TURE OR REM <br />HFAT PUMP <br />UNIT HEATERS <br />CLOTH�3 �RYER <br />RANOE M000 <br />WATER HEATER <br />METAL FIREPLACE/6TOVE <br />FIAEPLACE INSERT <br />OA9 FIREPIACE <br />GAS RANOE <br />GAS PIPHJG <br />E%HAUSTfAN <br />on+eR <br />I HEREBV CERRIFY iHAT I HAVE READ AMU E%AMINEU THIS APPUGTlON MIO KNOW THE 3�1ME TO BE TRUE � <br />PROv�S�ONS OF UWS ANO ORIDINACES GOVEItNING THIS?YPE OF WOAK W�LI.9E CA��O ���EI <br />NOT. THE ORANTIN6 Of A PERMR DOES NOi PR�9UME TO 6NE AUMORRI' TO VIOU7E OR C/U10EL 7/E AI <br />STATE OR IACAL IJ�W REGUUTING CONSTRUCTION OR TNE PERFORMANCE OF CONSTPUCTION. THAT 1 AM <br />OWNER OF THIS PROPER TO PlRFORM TME WORK FOft W WCM APPl1GT10N �3 MAOE M10 ���Y W�TT� <br />CONTRACu1RS UW 18. AND P96.20� �I /�,/� <br />lf'll.v��0�_ L�� <br />DEBIT R CREDIT CARDS ARE NOT ACCEPTED <br />H1N OTM6t <br />W TME <br />