Laserfiche WebLink
'�:• , i ."1 7 :c�Av �:. ��;� F. � <br /> � PERMIT APPLICATION <br /> CITY O� EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX A25-257-8F357 -www e��ere�twa.org <br /> APPLICATIONS AFiE ACCEPTEp FROM B AM TO 4 PM <br /> SITE ADDRESS� PARCEL TAX I.D.p �R�� � � <br /> 'l_l� S� — �u <br /> LEGAL LOTNO. BLOCK TRACTORBUBDIVI510N1 I <br /> UESC. I y 0 + <br /> 0 FR y��,, 'j <br /> Palrner 5a�hcr ��� 10"11•'A�FO�RMIi �y��e� 98o 0���`�_I /r-7 �, 6 <br /> TENANT NAME �� <br /> � <br /> `��' E•MAIL <br /> � <br /> c,rn►�� �a5� 1 <br /> i CONTIi.LICENBEM Cm �linq{nc, P-4t5 ►�oo��•�x•�,��v� WAG8� 1 <br /> USE OF BUILDINO HEAT SOURCE CONTRACT PRICE OF WORK <br /> ' I �Elodri ,__Ges_Other �, �2 - QO <br /> WORK DE3CfllF'TION <br /> 2�lac:� a+n c�u�clle,r' <br /> — UMBING C NICAL <br /> NO. TVPE OF FI%TURF.OH ITLM N0. 1VPE(`P F(XTURE ON ITEM <br /> 1'vilet _ NC-eir handling units '"�� I I� <br /> BathWb _ Forcadaireyetems ��1�hQIu,�1�-Y <br /> Lpvamry(wnsh Uasin) _ Gas piping <br /> � 5hower _ Wator heater <br /> Kltchen emk 6 d�sposal _ Gas Ilreplec0 <br /> � DishwachOr _ Oas rpnge <br /> CID1hOb WA9h8r _ CIOIhC!dtyer <br /> W aler heater _ Range hood <br /> Sink(servicePoar/mop/etc.) _ E�hausi lan <br /> I � 0acklbw preventer _= Heat pump <br /> Urinel Unil haaler <br /> Urinkinp Fountain ` Ooiie� <br /> Flem tlrain Refriperali0n <br /> �^ Greaso hap _ Woodeto�e <br /> Huo�drains Olher <br /> Othef_-- <br /> I -- <br /> � — <br /> � <br /> � OITY OF[VERETT 40CAL BALES TAX CODfi 19 3105 <br /> II hereby cPiilily Ihat I have read nnd oYamined thls applicel�.on and know Ihe same to Ga true snd correcl. All provielons o1 lews nnd <br /> . orrJinnc�s poveming Ihi9 tYpe o�wo�k wlll be camplied with whelher specilied horoir or not. The prenUnp ol e permit dces not prsaume <br /> Ito plve aulhorlty lo violate or cancal Ihe proviswn ol any olher state or local law iegulntinp constructi0�or Ihe pe�ioimanca ol <br /> conslructlon. That I am euthorized by Iha owner ot tlns p�ope�ly to perlorm the wor��or whlch epplicatwn ii made end I eomnty wiU�the <br /> Siale Con�racton Lew 1827 RCW nnd 296.200 WAG <br /> ' }�j���o��� 3� 15 �12- <br /> SignaNre o Ow ed on raclod uihonzed AUen( —� Oata <br /> i �---- <br />