Laserfiche WebLink
Mar 17 04 04:09p <br />RICHflRU RUStin <br />C <br />�25-513-0251 <br />_ <br />a <br />. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7 REET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />p.3 <br />_ allo1 Ev4o 3�43 <br />SITE ADORE83 � pARCEL TAII I.D. � ER1+1i N <br />_i�1 IfL�r, ��4r��1 5� �.�iz � ����s�9R.��A�,s,� � ��03 `D (/ <br />LOT NO. <br />r.l�i .. \�i..11' <br />iENMfT NAME <br />SLOCK TRACT <br />.1�. 19,T'L'.u.��,5�\v:h ';� � <br />ADDRE88 <br />� � <br />� ��)'�� Jt'c.ai�t� � � <br />I CONTACT FOR PENMR <br />GONiItACTOR <br />�}A11�'IuwNINL �!l��� <br />°���5• 775�/G�;� <br />A00 S � <br />by�s �.�d� s <br />`t{NuwJo� N.� <br />%'�36 �im�,o��i�?ir8 <br />PROVO�EO U!E OF BUILDING Buikling Math�Ncal AOditbn I HEAT 50URCE <br />PENNIT B Combination R Plumbnp WORK R NNntbn (i Ebdric <br />TVPE U Demolltlon b� Sipn TYPE D N.w oa. <br />U SOrinkler �� U Rep�k4A�m1 B om.� <br />CONTRACT VRICE OF WORIf CRY Of EVEqE7T LOCAL 811LEs TAII CODE I! 7105 <br />WORK OESCRIPTION <br />TUst��� as„ky-s�yr� on�CGCi;o <br />NO. I 1YPE OF fl%TUqE OR ITEM <br />BATHTUB <br />LAVATORY (WASN BASiN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />u OISHWASHER <br />Ul1NDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />S✓�K (SERViCE/8AR/MOPIETC.) <br />_� OTHER_ <br />M�. I 7YPF OF FI%TURE OR RFM <br />A/C - NFIANDLING UNITS <br />FORCEO AIR SVSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTH[S DRVER <br />RANGEHOOD <br />_ K'ATER HEATER <br />_ METAL FIREPLACGSTOVE <br />_ FIHEPtACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />FJfHAUST FAN <br />OTHER <br />��, I HCREBY CERIi1FV THAT I MAVE NEAD ANO EXAMPIEO THIS �np�ICAT10N AND NPqW 1HE SAME TO BE TRUE AND CORRECT. /LLL <br />I PROV��SIONS OF uW5 ANDORiDMACES GOVEHNING TNI4TYPE OF WORK Wlll BE COMPLIEO WRT1 WMETI�EH SPEGFIED HEREIN OR <br />� NOT 7ME GRAN7ING OF A PENMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO l'IOUTE OR C11NCEl TME PAOVISION OF �NY OTMER <br />� STATE OR IOCAL W RFGUUTING CONSTRUCTiON OR T1iE PERFORMNJCE OF CONSTRUCTION THI1T I AM AUTHORIIEU BV TNF <br />I Ori'NER Of TN OPERTV TO PCRFORM TME WOFK FOH WHICH APPLICATipN 1$ MADE AND I COMPI� WITM TNE 3TATE <br />���, CONTRACT 5 ]B7IRFWAN0796700WAL. _ / <br />DEBIT d CREDIT CARDS ARE NOT ACCEPTE'D <br />t C�-c � r b �. - �'3 <br />'/z <br />