Laserfiche WebLink
SUN-14-2004 13:30 FROM: <br />T0:1425257885T P.1 <br />r'ERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8657 <br />S�,�o�s2yo� � I�i�'P� sE � c�� <br />LEO LOTNO. BLOCK TfUCT <br />f <br />iENANT <br />WIQ S}-( p ��►'i �j � �'''✓ <br />� �C. 28 Z 4� <br />raovoeeo uae o� auaoiNo <br />�F 2 <br />CONTIUCT PRICE OF WORK <br />2 j�c <br />I <br />z800 - <br />PERht1T <br />TYPE <br />���-.�'� <br />PARCEL TAX I.D. A <br />9'�" 1�13L�'�` <br />1CTF RPERMIT <br />td�. 7h�c�ut c� <br />ADDPE99 � n.A1/ � <br />'''�' �--e- <br />•► , <br />Bu1lding Mechanlcel <br />Cambinatbn Plumbing <br />DemollUon Slgn <br />SP�nkler <br />PERM�T � <br />i'Y�C �i0 (� -o � <br />,<,o �zr 3� � <br />PMONE <br />�zS?,n3?$8 <br />iIC CONTR. UCENSE • <br />tc/fl.fK�Ef 9��a8 <br />RI�dEIU�n HEAT SOURCE <br />Altara.bn � Elec�tc <br />BNew � <br />RapeMMlelnt. �K <br />CRV OF EVERETT LOCAL 9ALE8 TAII CODE 19 �103 <br />WORK UESCRIPTION r C�nCJ � � L� <br />___1. �'1 ffi. 11 A-� <br />�ah� 593c�Xo3�% 3� <br />N0. I TYPE Of FIX7URE OR REM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />UIVATORY (WASH BASIN) <br />SHOW ER <br />KITCHEN SINK 8 OISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR DRAIN <br />DACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />NO.. I TfPE OF FOCTURE OR IiEM <br />A/C—AfHANDLING 11NITS <br />FORGED AIR SYSTEM5 <br />HEAT PUMP <br />UNIT HEATERS <br />GLOTHESORYER <br />RANGE N000 <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />— GAS pIPING <br />EXHAUSTFAN <br />— OTHER <br />i <br />I MEREBY CERITIFV TMAT I HAVE RFAD AND EXAMINED THIF 4PPLICATION AND KNOW TME SAME f0 BE 7RUE ANO CORRECT. ALL <br />PROVISIONS OF lAWS AND ORIDINACES GOVERNIN6 THIS 1YPE OF WOItN WILL BE COMPLIED WRN WHETHER SPECIFIED HEREIN OR <br />NOT. THE GfiANTING OF A PERMiT DOES NOT PRESUME TO GIVE AUTHORItt 70 VIOLATE OR CAN('.EL TME PROVISION OF ANY OTHER <br />STATE OR �OCAL LAW NEODUTING CONSTRUCTON OR iHE PERFORAUNCE OF CONSTRUCTION. THAT I AM AUTMORI2ED BV TME <br />OWNER OF TMIS PROPERTY TO PERFORM TNE WORK FOR WNICM APPLICATION IS MADE AND I COMPLY WITH TNE STA?E <br />CONTRAC ORS' IAW�E�� c�wANOZ98.200W [p f� y/__ ,/ �/'2S- 770 3�� <br />`�^ � �p�.if �I. <br />VV �' —� V I <br />� a1P <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />