Laserfiche WebLink
09/la!C�OU9 12:59 14257456404 ADJANCED INSTALL P<�5E O1 <br />f <br />SITE AODRESS <br />PERMIT APPLICATION <br />CITY OF EVEREiT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />a25-257-Bfi10 — FAX 425-257-8857 — www.everettwa.org <br />L <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM 7�/L�, O _ <br />� PARCEI TA:: I.O. M PE `�� <br />c�c� o�oozoo C � <br />OLOCK �— TAACTOHSUBUIVISIONA <br />CONTACT FOR PER�11T <br />CuaRrr� ln�: <br />HGJf1N�£D <br />CON7H. LICENSL• p _ _ <br />USE OF BUILDING <br />�'�\c��Cs� <br />WORK DESCRIPTION <br />��n a � <br />PHONE L�.'��•5�.�� <br />E-MAIL �c:.Vi ����al/4� � <br />/,,,n�yle�sa77 � <br />�., <br />CONTAACT PRICE OF WORK <br />i �.. � ¢� <br />1 i r-� '�i Nl�l�1 � n��C� �� 1� �'c�t 4�r �i-c��\ �as <br />v <br />NO. I TVPE OF FIXTIIRE OR ITEM <br />IToJet <br />�;Ithlub <br />Lavalory (wash basin) <br />;howm <br />Kdchon sink 8 dis{wsal <br />Di.'hwashor <br />Cirnhns washnr <br />Wator hoaler <br />Sink ��av�caibar/mop/cic.) <br />U�ckflovi pmven�or <br />Uiinal <br />Drinking founlain <br />Floor Arnln <br />Gmaso Irap <br />Roo� drnins <br />Olh�r <br />':[�7�� il'1X•]�.iF1ID'J3•li�Yl�.:l <br />_ NC — air handlnig unils <br />_ forced air systems <br />Gas pipinp <br />_[ W�ir.rhenter <br />__J_ Gaslirepinco <br />_I Gtis rmipa <br />. Clolhes drym <br />Rangc hood <br />Cwhousl lan <br />Heat pump <br />Unit hoater <br />�oilor <br />. Relrigaatiun <br />Woa15m <br />�_ Othor__�(�___ <br />CITY OF EVEHETf LOCAL SALES TA% CODE {S 7105 <br />I hereby coritity Ihat I have �end nnd ovaminud Ihis appGcaliw� eu�J know Iho somo tn be truo and conecl. All provisions of laws nnd <br />ordine�ces {�overning Ihis type oi work will be complied with whother specifiod herein or noL Tha grenting ol o pormil does nol prosume <br />to vo authonty to violalo or cancol iho provision ol anp olher sla�o or local law regulatinp conslruclinn or Uio podonnancu of <br />°johon. Thn1 I m au �iorizc by Ihc ownor ol tl�is property Io pedonn Iho work 1or whlch npplicatian is mode ond I comply with tl�c <br />'latc �lo �tr 4� +u-1 and'Z9G.200 WAC. <br />/ <br />�tlurr, nl Ov r.r, 'anlr:lclun�ulho�imA �yent � —bafu — <br />�E_��e�� ca\�__4�S-3�S�_S'99� _�oc C�_# �� ���]��'1�0.n� � <br />