Laserfiche WebLink
FEB-17-2005 09:29 FROM: T0:14252578857 P.2 <br />—� f <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, �NA 98201 <br />42rs257-8810 - FAX 425-257-8857 <br />SREAODRE88 n S <br />luo 2 SI rr rl � <br />LOT NQ I BLOCK � 7AACT <br />S�v��► `��-Y�el�nskc <br />�- <br />TAX I.D. / <br />l �O�z._ S� � <br />coHr�cr oort v�+ <br />U. �d� <br />f� <br />�W���{ � �l9''t l,1 �2�1J l �cortEse n,� TT� <br />� <br />PHONE _. �, c-i i I�i►� �I � <br />PROPOSED U9E OF BUILDINO <br />S'�-r� <br />CONTRAC7 PRICE OF WORK <br />PERMR <br />� <br />(DC� <br />�3 �Zrzsz <br />>Z- <br />�2� 7'za 3�' <br />��/�G xir wHrn.ucsNSEs <br />��!`r4' Cv-f►-J'K/�J��/� <br />RBulldl(g M0Ch8NC81 I (� AdarOn I NEATSOURCE <br />CombOnetlon Plumbing wOaK fi Nmra�bn {�,.�k <br />BSGriMcler� Slpn T1�8 g�� ,� �� <br />CtTY OF EVENE7T LOCAL 9ALES TA7f COOE IS J106 <br />WORKCESCfUPT10N � �� j � /� � '� /_ � <br />,v w `t��). <br />NO. I TYVE OF flXTURE OR RFJA <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SFIOVYER <br />KRCHEN SINK d DISP09AL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTNES WA6NER <br />URINN. <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (6ERVICEJBARlMOP1ETC.) <br />O7HER <br />-1 "� � <br />N0. � TYPE OF FXSURE OR ITBA <br />� _ q�W WpIING UNRS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEAIERS <br />CL07HESDRYER <br />RANCiE HOOD <br />WATER HEATER <br />METAL FIREPLAf.'FJSTOVE <br />FIREPLJICE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERfTIfY TFWT I MAVE READ ANO E%ALYNED 1}tl5 APPLICA110N ANU KNOW TME SAME TO BE TRUE AN� CORRECi• � <br />PROVISiONS OF LAW9/JJD ORIDINACE9 GOVERNINf3 h�IS 7YPE Of WOWC W�LL BE CONPL�E� WfTM WMETM�R 9PEQF� �� <br />N07. TiiE 6f WIiWG QF A PERMIT DOES NOT PRE9UNE 70 GNE AU7MORITY T0 vIOIATE OR CANCELTHE PROV1910N OF ANV OiHER <br />OWNFROOFTL HI�9PR0 �� OPERFORM�T�HE�WUORICf-0RVYFIIGIA�PP�LIGTON SMAOEAN01oCd.iPI.YWfff{TH�A� BYTHE <br />CAM�ORSLAW���'��n�C � / <br />i�.�e„ „� f 7 lGS <br />8 CREDR CAROS ARE NOT ACCEPTED <br />