Laserfiche WebLink
P�RMIT APPLICATIC �� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-• FAX 425-257-8857 <br /> SITE ADDRE PARCEL TAX I.D.� P RMR M <br /> ��:�;�. � Q3 �� - <br /> IEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> NER ADDRESS 21P PIiONE <br /> 1 � ' f�^�r.�.� ��l �l �Jl,� ��.¢� 4�[l� �t�33o3 <br /> �� M�..C� �� \11 I C A NAM�____��1��11_ PHONE /��� <br /> C�o�. p, �^ pp <br /> '�\`-N'r'"'`� `�f.1�YhS �CJRESS 1 '�.��'� �.h 4't 21P CONTR.LICENS � <br /> SVS��r-�COB$ N <br /> PMONE L� S-}evC.✓�g C.fA, � <br /> S - 34- ��, <br /> PROVOSED USE OF BUILDING Bullding � MeCheniCel Addition MEAT SOURCE <br /> /1 �.n/� PERMIT Combinalion Plumbing WORK � Al�eraUon �Eiectric <br /> �\ / VV � 7YpE Demolition Sign TYPE New G+e <br /> �� Sprinkler RapeiNMsint. OtMr <br /> CONTRACT PRICE OF WORK /' CRY OF EVERETT LOCAL SALE9 TA%COCE�S�106 <br /> WORKOESCRIPTON ^ n' l�er, t � <br /> ���`'�� � V� ' ' 1 GV W <br /> C���1'TEctc� C�O <br /> -¢� 3S4Z�2� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl)(TURE OR ITEM NO. I TYPE OF flXTURE OR ITEM <br /> WATER CLOSET _ AIC–A/HANDLING UNITS <br /> BATHTUB _ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BA�IN) _ HEAT PUMP <br /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK 8 OISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEAiER <br /> CLOTHESWASHER _ METALFIREPLACE/SfOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _ GP.S PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I — _ <br /> _ — <br /> I — <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND COHRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEiHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUTE OR CANGEL THE PROVISION QF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TMAT 1 AM AUTHORIZED BY 7HE <br /> OWNER OF THIS PROPERN TO PERFORM TME WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> � CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br /> 3/x/o'a <br /> iSignaWre of OwnedCoNractor/Authonzed Agent ata �/a <br />