Laserfiche WebLink
SITE A�DRES <br />LEGA LOT <br />DESC. <br />OWNER J <br />�csrH� <br />TENANTNAME <br />NERMIT APPLICA�i�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />I�1[�7�73 <br />PARCEL TAX I.D. N <br />CONTACT <br />3�0 9 PERMIT N <br />3oss �� .�/ZJ �7i�� <br />PHONE <br />� Gr,�e4 �NA.�2,ce�e (.�d�) 6S6-v�'o � <br />CONTRACTOR ADDRE39 21P �x�C',�S LICE_I�� fl�� <br />PHONE �A�� L Q �.,�r � ��-JTN � Q O N� H <br />'� 7'Tv I•4C <br />PROPOSED USE OF BUILDING <br />CONTRACT PNICE OF WORN <br />Building Mechanical <br />PERMIT � Combinallon � Piumbinp <br />TYPE Demollllon Sign <br />Sprinkler <br />WORK DE9CRIPiION ^� �I ��� <br />i�. <br />NO. I TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVA70RV(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />IAUNDRYTRAY <br />CLOTHES WASHER <br />URIN�L <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVIC[/BAR/MOPIETC.) <br />OTHER <br />Addlllon I NEAT SOURCE <br />WORK AlteretF�n � ElecMc <br />TYPE Ndw Gae <br />RepalrlMalnt Olhar <br />CITY OF EVERETT LOCAL SALEB TA% CODE 19 ]709 <br />Rs�� �aa�`v <br />N0. I IYPE OF FI%TURE OR ITEM <br />A/C — A/HANOIING UNITS <br />� FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />� CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />�GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBV CER�TIFV THAT I HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONB OF LAWS AND ORIDMACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI1H WHETHER SPEGFIED HEREIN OR <br />NOT THE GfiANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION TNAT I AM AUTHORRED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICA710N IS MA�E AND I COMPLY WRH THE STATE <br />DEBIT 8 GREDIT GARDS ARE NOT AGGEPTED <br />