Laserfiche WebLink
• UN-2-2004 06:31 FROM: T0:1425257BB!'7 P.1 <br /> � f � � <br /> PERMIT APPLICATION � <br /> � CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERE7T,WA 98201 ' <br /> 425-257-881 Q-FAX 425-257-885' i <br /> � <br /> srreno��23 �3 `� �S� �'OS�r�?d�v 9'Od I �/}�IMd`%o� oc�— ; <br /> LEGA LOTNO. BLOCK TRAGT � <br /> DESC. � <br /> �%�2uhe� ShPndah 1a/23Eg23'� 9YJE ��� 'fZ537�' Y4��2. � <br /> TENANTNAME CONTACTFURPERMIT PHONE � <br /> • I �-1hG�� �LS77d 3�'�'' � <br /> CONTRACL ADDRESS ZIP CONTR.LICENSE N � <br /> �„eJuJ'�1 �.P-�q �2r(/l c9f /�" � 'J �-pp <br /> PHONa'D� �-07'�.Z�.� 4 C� li• aUMd �✓!C✓R�GJ 7 ��Q� i <br /> PROPOSEO USE OF BUILDING Building MeChenical ACtlWon MEAT sOURCE ? <br /> I pERMR B Cambination Plumbing W("2K A1lennon Q EMd�C � <br /> S�� TYpE B DemolMion Slgr TYPE � Nsw Qd Gas <br /> Sprinkler RepaklMalnt [1 om�r <br /> � <br /> CONTRACT PRICE OF WORK ��Q�i � CITY Of EVERETT LOCAL SALES TAl(COOE q 77D5 �j <br /> WORK DESCRIPTION �i'1 S7�� �!►�1� � `t(1".�/'I�4�e �-(�k'�' � 9Q s p����) � ` <br /> J , <br /> — c�af P�p �r�j a �sv fn f2ar-tc�� �� <br /> PLUMBIfVG MECHANICAL 9j <br /> N0. iYDE OF FIXNRE OR REM N0. TYPE OF FIXTURE OR IIEM �i <br /> t� <br /> WATER CLOSET(TOILE'� _ AIC-A/HANOLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) — UN THEA ERS �� <br /> SHOWER — <br /> KITCHEN SINK&DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RAN�E HOOD � � <br /> LAUNDRY TRAY _ WATER HEATER <br /> CIOTHES WASHER METAL FIREPLACElSTOVE �� <br /> URINAI. _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE ��� <br /> BACKFLOW PREVENTER � GAS PIPING j� <br /> SINK(SERVICEIBAR/MOP/ETC.) _ EXHAUST FAN j <br /> = OTHER = OTHER :�� <br /> — �� <br /> I HEREBY CERITIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL � <br /> PROVISIONS OF LAW3 AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN OR � ; <br /> P:OT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER ,; <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TMAT 1 AM AUTHORI7ED BY TME �•i'� <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE ;�� <br /> CONT TORS LAW 7 RCW AND 2 . WAC. I / /O� <br /> (D�� <br /> i��i«:i <br /> Sf r alu o wnedConVactod nzed gent Date " <br /> F <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> :� <br /> Mo�cxo-C�aa ' <br />