Laserfiche WebLink
SITE ADDRESS <br />/ L� <br />LEGA LOT N0. <br />oesc. Z <br />P..RMIT APPLICATIC �V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-Ba 10 - FAX 425-257-8857 <br />3,., Sk <br />BLOCK <br />�nn <br />%%/ /t'G- � �� /I'� /� <br />TENANT NAME <br />TAX I. P RMIT <br />�cn ���7 — ��i �i -U � (� <br />TRACT � i <br />i� < cJ n��lnL , /f /lo n) / �S ^1/. <br />AODFE55 ZIP PHONE <br />/D 2 2- % 3.r� .�[�t / C.�� e <br />CONTACTNAME <br />CONTRACTOH / I AUDRESS ,[L�7� /�� 7�P <br />� G/�.Jj7 /-7d �Yt �� � �'� � ��.3 �— /�� � �/�v� <br />PHONE y Z f' S�U Z- �� % D U y( �(� D�%i.J t�i f C fJ � r <br />PHONE <br />��• 037 <br />vr7r �5/ <br />Nr% <br />S/n 7 a <br />CONTR. UCENSE � <br />15��Ni7��6�L% <br />PROPOSEO USE OF BUILOING � f�8 uilding Mechenical Addilicn MEAT SOURCE <br />I PERMIT �FI--(( C_ombinalion RI--( Plum6ing WORK Al�erallon R Elecdk <br />��JNC TMPE �j Uemolition L1 Sign 1YPE New u �ee <br />L.I Sprinkler epeldMelm. L) Othar <br />CONTRACT PNICE OF WORK <br />al <br />WOAK DESCRIPTION <br />/a/L � �� w — c-��= �,/ {i�><<i� <br />NO. I TYPE OF FIXTURE Ofl ITEM <br />WATER CLOSET <br />BATNTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN �INK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFI.OW PREVENTER <br />SINK (SERVICElBAF/MOP/ETC.) <br />OTHER <br />CITV OF EVERETT LOCAI SALECa TA% COUE IS 3106 <br />NO. 1 TYPE OF FIl(TURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />H[AT Pl, MP <br />UNIT HEATF7S <br />CLOTHES DHYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIFEPLACE/STOVE <br />FIREPIACE INSERT <br />GAS FIREPLACE <br />OAS RANGE <br />GAS PIPI4G <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED?HIS APPLICATION AND KNOW THE SAAIE TO AE TRUE AND CORRECT. ALL <br />PFOVISIONS OF IAWS AN� ORIDINACES GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED WITH WHE'f HE9 SPECIFIEJ HE(iEIN OR <br />NOi THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PFOVISION OF ANY OTHER <br />STATE OR LOCAL LAW FEGUTATING CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I.1M AUTHORIZED BV THF <br />OWNER OF THIS OPERTY TO PERFORM TME yVORK FOR WHICH APPLICATION,IS MADE AND I COMPLY WITH THE STATE <br />CONiRACT W 1827 FCW AND 29{'i.200 WAC. / <br />, � �.,. j ��. -���7� �� ��/ �� �_ _ . <br />.� <br />