Laserfiche WebLink
SITE ADORE33 <br />LOT N0. <br />NAME <br />�ERMIT APPLICAI��ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK <br />PARCEL TAX I.D. # <br />CONTACT FOR <br />% � <br />PHONE <br />U- <br />/o � U� � <br />I ��L-W L�vR�2LE� �3v�� �Sd-��'d � <br />CONTRACTOR AUDRF55 ZIP CONTR. LICE_t�SOE�IDLL <br />CX{�I('�.S L �O � 7 <br />PHONE J1'�i"CE � L.UJ� � (��.gTy � q�ys H <br />PROPOSED USE OF BUILDING yn,� Buflding � Mechenical R Addltlan HEAT SOURCE <br />I TVPEIT u SP nkllt on n Sl�un bin9 �E R R'ePaIdM31N. I � Olher e <br />Sf�i U L� <br />CONTRACT PR�CE OF WORH <br />WORNDESCRIPiION /� ��' Q �— <br />/(/6�cci cT� /�- % cCi?? <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SNOWER <br />KI7CHEN SINK 8 DISPOSAL <br />DISHW�SHER <br />LAUNDRYTRAY <br />� CLOTHES'NASHFR <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINk (SERVICEIBAR/MOPIETC.) <br />_ __i OTHER <br />CITY OF EVERETT LOCAL SALES TAX CODE 19 �105 <br />NO. I TVPE OF FI%TURE OR ITEM <br />A/C - AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WONK WILL BE COMFLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT P(iESUME TO GNE ACTHORI7V TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOfth1ANCE OF CONSTRUCTION THAT I AM AUTHORIZED BV TME <br />OWNER OF T,�-IIS PROPERTV TO PERFOFM TNE WORK FOR WHICH 4PPLICATION IS MADE AND I COMPLV WITH THE STA7E <br />CONTRACjQF2S LAW 1827,42CVj� AND 296 7.00�AC / / <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />