Laserfiche WebLink
AUG-24-2005 06:51 FROM: <br />SITG ADORESS <br />� �� SZl'.� <br />LEGA LOT N0. <br />DESC. <br />PERMIT APPLICATI� <br />CITY OF EVERETT PERMIT SEI <br />3200 CEDAR STREET, EVERETT, WA 9 <br />425-257-6810 - FAX 425-257-BA57 <br />,lE � <br />BLOCK TRACT <br />PARCEL TAl( I.D. # <br />Lb/S� C..U✓L�}t/�(fJ 1�%�% SZK'J.%T.I`E � <br />T NAME <br />SQw�-�- <br />CONTACT FOR PERMR <br />�C..�r��l�. yzs 7 <br />CO CTOR � � � ADDRESS <br />ul"�S�l i��1.� �4�IrI�1 <br />PHoi,E (0 2-S Z t/7� -�� 711°`''"' d� <br />G!� <br />PROPOSED USE OF BUILDING <br />. � <br />k•e ,�c <br />Bui�ding <br />PERMR Combinalion <br />7YPE Demolidon <br />Sprinkler <br />Sign �iYPE <br />CONTRACT PRICE OF WORK �(� -- � I CITY Of E' <br />WORK OESCRIPTION � �`� �` <br />�� f� ! �` f .-,� <br />N0. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />OISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />F! UOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. TVPE OF FIX1 <br />A/C — AIHANC <br />FORCED AIR <br />HEATPUMP <br />UNIT HEATEf <br />CLOTHES OF <br />RANGE HOOI <br />� WATER HEA' <br />METAL FIREF <br />FIREPLACE C. <br />GAS FIREPU <br />GAS RANGE <br />GAS PIPING <br />EXHAIJST FA <br />1 HEREBV CERITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING ThiIS TYPE OF WORK WILL BE COMPLIED W <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME 1 O GIVE AUTHORITY TO VIOLATE OR Cf <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIO� <br />OIVNER OF THIS PROPER7Y TO PERFORM THE WORK FOR WNICH APPLICATION IS MAOE AND I C <br />CON�CTORS lA .27 RCW AND 296.20�. ,,,/_ ,, // <br />i/1.(L�4 YYJ S��L ( �l �'`'� v � <br />DEBIT 8 CREDIT CARDS ARE NOT <br />P.2 <br />a <br />ZS'2g S� <br />rpV1�C <br />3� . <br />ZIP <br />CONTR. LIi.ENSE A <br />�yi�f97i c7,y <br />Add7Uvn HEATSOURCE <br />Allerallon [� Eledric <br />New .��f Ges <br />RepaldMaint. U Other <br />SALES TAl('COOE IS J705 <br />MECHANICAL <br />E OR ITEM <br />UNITS <br />BE TRUE AND CORRECT. ALL <br />WHETHER SPECIFIED HEREIN OR <br />EL THE PROVISION OF ANY OTHER <br />'HAT I AM AUTHORIZED BY THE <br />PLY W ITH THE STATE <br />