Laserfiche WebLink
Sent �y: H� LaserJet 3�00; �25824951fi; Jan�29-Ofi 1� :57Ald; Page 2 <br /> r- PCRMIT APPL�CATION <br /> ���� CITY OF EVERETY PERMIT SEHVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-25/-8810 <br /> o i�onr <br /> SITE AOQRESS PARCBL TAK I.D.tt PERMIT� <br /> IJ30N'CAtiINORD++3ol. [\'ERFTT, WA ogZ04 UUM657U393'�11111 <br /> "o1( l.i'F( �'j <br /> LEGAL LOT NO. BLOCK � 7RACT <br /> o��� _ .. <br /> OWMER ADDRE88 PHONE <br /> LL•l:. LA�KY IJ3U W CASINO RD aJ91 �a2t���� ���z <br /> • LVLK6TI�, N'A 9N20d <br /> TENANTNAME � CONTACTNAME � PHONE <br /> PAMfI.AIIII.I. 425 81-0J124x11J <br /> CONTRACTOR ADDRES$ CONTR.LICENSER <br /> f 4ST l4'ATCR IIfiATER C'�1MPA�Y 12G01 I?1ND A�'[ N[ F�STR'N'F19JABC <br /> IJ'S191J-11?J f:fRTi1.A�D.W'� 9R02. UIi03!ZOUB <br /> P�i4�E__=- - <br /> PROPOSED USE OF BUILDINO auud�no �kchenlu • e no� N T SOURCE <br /> � PERMIT Comhln�tbn _ f lumetrp w�� Al�pttlon ENtidc <br /> TYPE O�mollllon Elpn ryPE N�w n <br /> rlMdnt or <br /> CONTRACT PRICB OF WOHK WJ�00 �JITY Of LVlRETT LOCAL SALES TAX CODEIS 7105 <br /> WORK DESCRIPTION R��nuvc Rcplait lla� N'a�cr Heaier <br /> �U� -- -------- - M�H�� <br /> ,YPE Oi FIX'fURE OR ITEM _ ND. ' R ITEM <br /> _______ WATER CL06ET ______ A1C•A/HANDLiNO UNiTS <br /> BATHTU9 ______ FORCED AIR SY6TEM5 <br /> _ .__ LAVATORY (WASM BA31N) __.�_ HEAT PUMP <br /> SHOWER ___ UkIT HEATERS <br /> � KITCMEN SINK 6 OISPJSAL ______ CLOTMEE DRYER <br /> DISHWASMCR __�___ RANGEMOOD <br /> � UIUNORY TRAV _�__ WATER HPATER <br /> CLOTHE6 WASHER _�__ METAL FIREPIACFJSTOVE <br /> URINAL ____ FIREPLACE INSERT <br /> DRINKING POVNTAIN ��___ GAS FIRiP4ACE <br /> FLOOR DRAIN �—_ _ �As �HQE <br /> BACKFLOW PREVENT[R �_._ GAb PIPINO <br /> � SINK (SlRVICFJM1i/MOPIRTC.) ___ EXMAUST FAN <br /> ------ OTHER OTHCR-'-'----'-'-`-"_" <br /> I HERk�BY CERTIKV THAT I HAVF RUD AND EXAMIN[D TMIS APLICATION A�O I:NOW TM[ SAME TO AE .'FUE AND CORRECT All <br /> PNUvqapNS OF l AWS ANC MiOiNANCES GOVERNING THIF TYPE OF WOF K N1!L BE COMPUEO WIN f WHFTMER SPEUfIED MEREI <br /> Oq NOT TNE GRANT1N�i Of A VLRMIT DOES NOT PRE:U�F T06NE i�JT1+JRITY TO VIOUTE OR CANCEL i HE CROVISION OF A4V <br /> OTHER SUTF OR I.00A�.V�W REGUI�TING CONSTRUCTION OR TNE VER�OBMANGE OF CON6TRUCTION.TF�AT I AMAUTMORi2E0 <br /> Av rHE ONNER OF���IS PROf'ENTY 10 PEftFORM TME WORK FOR WHIC�•APPIIGATION IS MADE AND I GOMP�Y Wftn THE STATE <br /> '�C'�N'RAC'DR6 LAW •tl 27 RCW AND%9G 700 WAC <br /> �glpnituro of Own�dContraUmlAuthori:od Apeni . , _- _ � ; � .� p��� n i:2v ZUOti <br /> I�— w --- —._ u�.�. <br />