Laserfiche WebLink
,---- _—_ d — <br />' PERMIT APP�.ICA1fI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3?00 CEDAR STREET, EVERETT, W�� 98201 <br />� 425-257-8810 - rAX 425-257-8857 <br />ADDRESS ^ �i^ <br />_ „ <br />-, �': l , � �' <br />L� LOT NO� ` ` I <br />1 <br />v�� � <br />TENANTNAME <br />�', CONTRACTOR <br />I <br />PHONE �� � � � <br />,� <br />_ y <br />BLOCK <br />�_�;.��.��� <br />7�'i (J <br />PROPOSED USE OF BUILDING <br />CONTRAC7 PRICE aF WORK i <br />WORK DESCRIPTION <br />I' ' <br />�2CE�. TAX I.D. # <br />�Y O/O� �G/ Cd <br />TRACT <br />��� <br />_1 c'� Z( � <br />ICONTACT {'OR PERMIT <br />ADDRESS S �; .c . _ <br />:, ,�c.. . fz�,.,: . <br />J;J� <br />wlding tNechanical <br />PcRM1T Combinalion lumbing <br />7vPE Demolition Sign <br />Sprinkler <br />jSG� _ � _�� ril <br />NO. I TYPE OF FIXTURE OR ITEM <br />�_ WATER CLOSET (TOILET) <br />t BATHTUB <br />-"- IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />� DISHWASHER <br />IAUNDRYTRNY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />i OTHER <br />TYPE <br />U41�9 ���� <br />�, (�v� ' D/ Li <br />�ERMIT � <br />r�o�(� 0/3 <br />�C�L- <br />10NE " <br />� �t�✓L N J `^� �� <br />FHONE <br />�?) 'Z�,S o ��', <br />Z�p CONTR. LICENSE # <br />�2�lCAltl-1< �.��� <br />Addition <br />Alteratlon <br />ew <br />RepairlMaint. <br />HEATSOURCE <br />n Eleclric <br />riYFay <br />� Other <br />CITY OF EVERETT LOCHlSALLJ 1Hn �.v�c na ., ��� <br />��c.s:� Z.L ��, <br />— MECHANICAL <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLLVG UNITS <br />FORCED AIR Sl'STEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYE:R <br />RANGE HOOD <br />WATER HEATEF2 <br />METAL FIREPLf�CE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />CAS P!PING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THA71 HAVE REi.D AND EXAMINED THIS APPLICATION AND KIJOV'J THE SAME f0 BE TRUE AND �:UKKtc i. N�� <br />PROVISIONS OF tAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL 6E COMPLIcU WITH WHETHi9R SPECIFIED HcREIN OR <br />NOT. TH`e GRANTING OF A PERMIT UOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE ?ROVISION OF ANY OTHER <br />STHTE OR LOGAL.IAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OV1:7EP. OF THIS PROPERN TO PEk�ORM THE WORK fOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS l.AVJ J827 R:W FND 296.200 W ! 7/ <br />� i� % i � _ ^�i ( � "� J I <br />DEBIT & <br />ARE NOT ACCEPTED <br />