Laserfiche WebLink
f'ron <br />12'^�12011 11:46 k623 P.002I002 <br />PERMIT APPLICATION 56�'�s <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />a25 �s�-ae�� Fnx ��� �j..11 <br />SITE ADDRESS PARCEL TAX I.D.# T PERF."!T# <br />i�uz ;s s r sr:, eve�ce� r, wn vnzo� <br />OWNER <br />I.AAtUUN1:UX, AUUli11' <br />TENANTNAME <br />CONTRACTOR <br />PAS�f NATIiR I II:A'I�IiR l'UA1PANl' <br />PROPOSHD USE OF BUI <br />Residentiat <br />E OF WORK <br />U0394 U1100112 I 01 <br />ADDR[SS <br />Idfl� 75 Sf tiI'. <br />� I'.\'liitf.f.l'. WA 9N20J <br />CONTACT N/ <br />ADDRESS <br />1'_C,UI 13ZND AVh: NIC <br />KIRRI.ANI), WA '�hol4 <br />W�RK DE5CRIPTIDN �temuve/Kepince lilrctrir \l'aler I Ic:ner <br />....----' BATHTUB <br />______ LAVATORY (WASH BASIN) <br />SNOWER <br />KITCHEN SINK 6 DISPDSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />PLOOR DRAIN <br />TRACT <br />Plumbinp I WORK <br />Slpn �TYFE <br />OF <br />r �i��z-��� <br />Naw <br />PHONE <br />(q�5);Sy-1042 <br />PHONE <br />475-636-70� <br />CONTR.LICENSEiF <br />I'Ati'I�\VN'119�3N R[' <br />UI;O•i�20i2 <br />iEAT SUURCE <br />A/C-AINANDLING UNITS <br />FORCED AIR SYSTEMS <br />FiEAT PUMP <br />^ UNIT IiL"ATERS <br />CLOTHES DRYER <br />R/1NGE HOOD <br />� WATER HEATER <br />METAL FIREPLACEISTOV[ <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />__ ._� BACKFLOW PREVENT[fi ____ _ GAS PIPING <br />_____ SINK (SERVICE/BAR/MOPIETC.� _.__ EXHAUST FAN <br />------ OTHER------------.._- ----- OTHER------------------- <br />I H= HEtIV CGRTIFY THAT I HAVE Rcl�D AND EXAMINED THIS APLICATION AN� KNOW THE 5l�ME TO 0[ TRUE AND CORRECT, ALL <br />PROVISIONS OP lAWS l�ND ORUINANCES GOVGRNING TNIS TVPL' OI' WORK WILL dE COMPUEU WIF17 WMFTHER SPECIFIlD MEREIf <br />OR NV L THE GFiANTING OF A PCRMIT DOES NOT PRESUhI[ TO GIVE AUTHORITY TO VIOLl�TE OR CANCEL THE PROVISION OF ANY <br />OTHER S7AT[ OR LOCAL lAW RE(iUTATINGCONSTRUCTION OR THE PERFORIdANCE OF CONSTRUCTION. TNAT 1 AM AUTHORIZED <br />B� THE UWN[R OF iH15 PROPERTY TO PERFORM THE WORK Ff1R WHiCH APPLIC�TION IS MAOE AN� I COMPLY WITM TNE STATE <br />CGNTRACTORS LAW 18.27 RCW ANU 29G.70� WAC. <br />SI{�naWro of OwnodCOnlreclorlhuthorized Agenl <br />Dete I'_'09/:011 <br />