Laserfiche WebLink
SITE ADDRESB <br />� <br />LEG LOT N0. <br />OESC <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />S <br />CONTRACTOR <br />R�G►�T ON 11�T��G <br />PROPOSED USE OF BUILDINO <br />CONTRACT PRICE OF <br />PARCEL TAII I.D. M <br />� � <br />BLOCK 7RACT <br />ADDRE88 av <br />1?ll0 /2�1 Sr. S�E� , Jt� <br />�CONTACTFORPERMIT <br />OV`h%�Z� /��r` —. C <br />ADDREBa �il�� �P <br />PERMIT � <br />CONTR. LICEN8E� KII <br />q�zs�8 <br />Building dICyMechenicel AAAttlon ` HEAT80URCE <br />PERMIT RL1 Combinelion U Plumbing WORK � Allereunn ���� <br />7ypE �.] Dem0lition U Sipn TtlPE Neva °° <br />LJ Sprinkler RepalrlMeirn. OMer <br />__ CITY OF EVERE7T LOCAL 811LE8 TA% CODE 18 I706 <br />WORK DE9CRIPTMN <br />In[Sr1��-�- KEiN G,�S PiP/NG� Q.6bG�64/�S'r'AU. I�E,YJ Gk$ F�K/�I�kCC� <br />j�0.,(L-Up +�lTU�a(. C+t4S 7D I�TW/�Tb—;2 T/aNe� u77C.17'i 12a�M <br />R�1 n w2u�t� E <br />PLUMBINC3 MECHANICAL <br />N0. I T.'PE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOPIETC.) <br />OTHER . <br />NO. I TYPE OF FU(TURE 01t IYEM <br />AIC — AIHANDLIN(3 UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTNES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIRF�LACE/STOVE <br />FIREPLACE �NSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPIN� <br />EXHAUSTFAN <br />OTHER <br />I H[REBY CERITIFV THAT I HAVE READ AND �" ' 1111ED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINAf,E? .NING THIS TVPE OF WORK NALL BE COMPLIED WITH NMETHER SNECIFILD HEREIN OR <br />NOT THE GRANTING OF A PERMIT DDEa .. �T PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR LOCAL LAW REGIIIATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORI2ED BY THE <br />CON E A�TOj�S��B 2 RCO P�2�8 200 WA�RK FOR WHICH APPUCATION IS���v I� PLY WITH THE STATE <br />�� /7/���.� J 'Il Il�/ <br />DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br />