Laserfiche WebLink
�� <br />i. . <br />P RMIT APPLICATION <br />� CITY OF EVERETT PERMIT SERVICES <br />�"" 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8870 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. +1 <br />5�2� � 2u�1 Au.� a�soo3 o�s �� bo <br />LOTNO. I BLOCK I tpA�T <br />P RMIT M <br />///-Ob <br />Eueve%} C�oS�al �►1�ss�or 52G So �H�) Rve 9&zo-g 2sZi24"� <br />TENANT NAME CONTACT NAME pNONE <br />5aw,.,e I �..o�ini� �aKTZ �/25 3og qSGG <br />CONTRACTOR ADDRESS ZIP CONTR.UCENSEN <br />PFiONE ti�t�^'La <br />PROPOSED USE OF AUILOING <br />Building Mechenical <br />PERMIT B Combination R Plumbing <br />7vPE Demolition � Sign <br />B Sprinkler <br />CONTRACT PRICE OF WORK �O� 00 <br />WORK DESCRIPTON <br />�a�t;�ti�u� <br />NO. � TYPE OF FIXTURE OR REM <br />UJ�C� <br />WATEii CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF; DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAFUMOP/ETC.) <br />Atldilion HEATSOURCE <br />Alleration Electric <br />New � Oas <br />RepaidMeint. l� Other <br />CITY OF EVERETT LOCAL SALES TA% COOE IS J705 <br />NO. I 1'YFE OF flJ(TURE OR REM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />CAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBV CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WHETFIER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STA7E OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERN TO PERFORM THE WORN FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />C9NThACTOR , W 1 7 RCW,AND 296200 WAC. <br />— Ot <br />