Laserfiche WebLink
� - -- _ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-vwvw.everettwa.org <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO�PM <br /> SI7E ADDRFSS PARCEL TAX I.D.N PERMIT N <br /> z. 2°1 �07�`` �/5� 9g�� �o4�� 3aaZvz� a� I i%'1 C<�t>-�7 <br /> IFGAL lOTNO. BIOCN TRACT <br /> f1ES� <br /> OWNER�a� �� ��2� /a p�g � 4� � CI�/�P PHONE <br /> ��'� f � u�-�/ 9g�g <br /> T[NANTNAME I CONTACTFOR PERMIT PNONE <br /> CONTRACTOR L/�- ADDRESS �1 CITY/ P PHONE <br /> �tJRsr��ti�r ri,l f� ;r ��;5�; �;� �jr�� ��{ ����n — <br /> -fi�n ft� .�s �� '/� � i <br /> CONTR.LICENSE 1 � .� fu /17 �I S Y��Sj� <br /> CuA9N11 x c)5��c�r �j'b'3 3 ,y <br /> USE OF BUILDING � — HEAT SOURCE�.L�� CONTRACT PRICE OF WORK <br /> FlFdnc Gas Other Q/� 00 <br /> [� 7 <br /> WORKDESCRIPTION �� � � ��5 �� /_� <br /> �LF-C <br /> I PLUMBING MECHANICAL <br /> I NO. TYPE OF FI%TUFE OR ITEM NO. TVPE OF FIxNRE OR ITEM <br /> __ Tollet NC-air handhng unns <br /> _ Bath�ub _ Farcxd au syslems <br /> __ l.avatory (�vash b�sin� Gas p�pmg <br /> _ Showei � Wafer heater <br /> _ KdGien sinY R Aispcsnl _ Gas fveplace <br /> _ Dishwash�i _ -- Gas range <br /> ._ Clolhes washrr Clo�hes dryer <br /> --- LaunAiy haV -- Ranqe hoad � <br /> -- Sink(service.bailmup/elc� 1 Fxhaust fan � <br /> --- BacklloN�p�even�e�i __ H�±at pump <br /> __ Unnal Untl heater <br /> _ Unnkinq Pnunlam Auiler <br /> __ H�r draui _ Refnqerahon <br /> -- �rense Iral� Woodstove <br /> ___ R�idiains-- ___.. . ._ I — O�her__— -- <br /> Olhei <br /> CITY OF EVERF.TT LOCAL SALE9 TA%CQDF.19 NOS <br /> I hBfl!by cenliry thal I have read and exammed this application anA know Ihe same to be true and cortect NI prowsrons of laws and <br /> ordin.�ces qoaerning Ihis type of work will be comphed wilh wliether specifiecf herein or not The granhng of e permlt dces not presume <br /> lo yw��authonly to vinlate nr cancel Ihe provision ol any other state or local law regulaUng construdion or the perlormanr.e ol <br /> mnshuclion That I ein mithonzed by�he owner ot this p����erty to peAorm the work lor which appfica6on Is made and I comply with the <br /> State Ooniraqors Law 1B 27 RCW and 296 200 WAC <br /> �a <br /> c W_E-�-� �t- �S-6 � . . <br /> Siqnah�re o C wner/ bnhart(�7tlAitth'nmed , � �ip e � <br /> \`___—_._- _� <br /> � . .___ _____ _ _.__—.____—_ __ . <br />