Laserfiche WebLink
Sr�ITEr �ADDRES5 I , <br />J J Z. S V� <br />LEGA LOT NO. <br />; <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 U- FAX 425-257-8857 - www.everettwa.org <br />VF <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />TENANTNAME <br />U � �. Q M �J��ti��Z <br />Arro W S�g n 4�m pa ny <br />CONTR. LICENSE #�kRow sc qo 6 L 4 <br />USE OF BUILDING <br />�: <br />PARCEL TAX I.D. # <br />�•�� <br />TRACT OR SUBDIVISION If <br />4U(� Cqli }�orn��� <br />��ONTACT FOR PERMIT <br />�\ C!�`1� (Z'J> <br />V C� \ \�\ � <br />HEATSOURCE <br />_ Electnc _ Gas _ Other <br />� <br />PERMIT # <br />C' ; /✓ <br />G4io1 <br />.,.,.,�, �IS1b5 U'ZI� <br />PHONE S 1 `U "] I S 5 L� �' <br />(�l.uca� r�; � <br />e-Ma�Paaaw ;; -N�co,..a <br />QAKIun� 4bo� SIO� 33 -lb�i 3 <br />CONTRACT PRICE OF WORK <br />C��'t � (�C�O,._ <br />WORKDESCRIPTION �{.��`�C�.� `n^. � " <br />i�i.`I���\� G- S; G�Y�C,�i"i(F�On•,iii=c2.� W��'h�- <br />%I�zl� ��c�zS � (2�i('L�crn� �� �: (J•M'��r2 C v��;�n+ i3•Ar^K) <br />S�i �i �,,^aae1���� w o��Z sCoP�i � i'�13c�` <br />o� �weu�n ��onuwwnwi <br />N0. I NPE OF FIXTURE OR ITEM <br />Toilel <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposa� <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (service/bar/mop/etc.) <br />Backllow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Uap <br />Root drains <br />Other <br />NO. I TYPE OF FIXNRE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust Fan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeretion <br />Woodstove <br />Olher <br />CIIY OF EVERETT LOCAL £ALES 7AX CODE IS 3105 <br />I hereby certify lhal I have read and examined tliis applicalion and know Ihe same to be true and correct. All provisions of laws and <br />ordinances governing this lype of work will be complied vnth whether specified hereir, or not. The granting of a permit does not presume <br />lo give authority to violate or cancel the provision otany other state or local law regulating construction or the performance of <br />cor�s`�ructio . That I a uth rized by the owner of this property lo perform the work for which applicalion is made and 1 comply wifh lhe <br />State C�ctors L 182 RCW and 29G200 WAC. <br />� , ._._� �-Z�� � �0 <br />SignaWre of OwnedContractorlAuthonzed Agenl Date �/, <br />L <br />c a w- <br />