Laserfiche WebLink
SI1�E AODi:eSS <br />Lh:AL L T/N� t\ <br />PERMlT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. i: <br />3 --�5-09 , <br />II%/, � `L'7 / � <br />L <br />i�hSC. I I <br />U11'NER � AD�ftESS UP PHONE � <br />`/)/' i <br />��/�/ "l nil.�(,�,Q , S JC� j�yy" )� 1�C1� / O�I�D,.i n%_� ' �ti J.. ��t'��1 I <br />TEYANT NAME CONT:.CT FOR PERMIT PHONE <br />COKTRACiOR ADDRE55 21P CONTR. LICENSE N I <br />/,i,T�ec(A' .a•�>.��,:l.C� �tiC /S(,lt- dY-'A,5l�S«: `�� y�� �iili'/�[TiC.(C�. <br />PHJNE I <br />P^OPOSED USE OF BUILDMG Budding Machanir.�l A�d :ion HEAT SOURCE <br />�" ` PERMIT Combinahon R�j Plum6ing WOP.K R�-( Alteraaon ru` Eleanc <br />'��(�;,/ TYPE Demnldion u Sgn TYPE �,j Nex �.�,+ Gas <br />C Sprinklxr U fnpsulldaint L� 011ier <br />CONTRACT PRICE OF WORK CITY OF EVEHETT LOCAL SALES TAX CODE IS 77D5 <br />wURI( DESCRIPTIOM <br />�L�,tfl�l !i/(�P' �INn l /��Aq CNr �y,)�/�/ ��. <br />� /� <br />PLUMBING <br />14� I TYPE OF FI%TUP,E UR REM <br />N'ATER CLOSET <br />BATh1TU6 <br />LAVl�TORY (WASH B4SIIJ� <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTR�Y <br />CLOTHESlNASH[R <br />URIN�L <br />DRINKIIJG FOUNTAII� <br />FIOOR DRl11N <br />�l�CKFLOW PREVEKiER <br />SIIJK (SERVICE/BAR'MOP/ETC.1 <br />OTHER_ ._ ..---- <br />NO. I TYPE OF FIXTURE OR tTEM <br />A�C - AIHANULIWG UNITS <br />FORCED hIR SYSTEMS <br />-- HE�T PUMP <br />UNIT HEATERS <br />_ CLOTHESORYER <br />RANGFHOOD <br />WlQER HtATEr^. <br />METAL FIREPLACc'ISTOVE <br />FIREPLACE INSEF,T <br />GAS FIFEPLACE <br />GAS Rl�NGE <br />� GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />___..�__ .. <br />i�IcRtBY Chlill IPY I HAI I H/ Vt REl�U ANU 6Xl.MINtU iM15 APPLICATION AND RNOW THE SAIdE i0 BE TRUE AND GORREGI. ALL <br />�'i�UVISI�NS OF LAV�'S AN� ORIUINACES GOV6RNING 1 HIS 1YPh OF \NO(3K WILL BE COIdPLIED WI1H WHET4ER SPEGHEU HEREIN OR <br />v( �I 1 H6 GRANIING �I.111 UOES NOI PRESUh1E i0 GIVE AUTHORRY 10 VIOLAIE OR ChNCEL T^IE PROVISION OF ANY OI HER <br />� I41t OK LOC�. L�6 L-GUI IIIJG CONSIRU(.110N OR 7HE VERFORMANCE OF CONSiRUC11ON iF:nl I AM �U7HDaIZtU e" 14E <br />����'NhH OF IHIS�h(t( �Ijl� � O PERFORM T� IF. \N(N2h FOR WHICM qPPLICAI ION IS MADE AND I COV?�1 N YH T4E STAIE <br />,�"JIRAGIONSL�I x.[�7R'�N'AND2�2M1WAC _ <br />, 3-zs��5 <br />x.A�.,iry mted Ayen; <br />f,/ � <br />GEBIT f� CREDI f CARDS ARE fJOT ACCEPTED <br />