3110 W MUKILTEO BLVD VERIZON 2018-01-02 MF Import

PECHMIT APPLICATION. O;L CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 SITE ADDRESS PARCEL TAX I.D. N I PERMIT r LEGA LOT NO. BLOCK TRACT DESC. OWNER ADDRESS ZIP PHONE TENANT NAME I CONTACT NAME PHONE CONTRACTOR ADDRESS ZIP CONTR. LICENSE e PHONE PROPOSED USE OF BUILDING Building I") Mechanical Addition HEAT SOURCE PERMIT B Combination ILHJ( Plumbing WORK lteration nElectric TYPE Demolition Sign TYPE New N B Gas Sprinkler Repair/Mainz. Other CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 WORK DESCRIPTION PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM _ WATER CLOSET A/C — A/HANDLING UNITS _ BATHTUB FORCED AIR SYSTEMS _ LAVATORY (WASH BASIN) HEAT PUMP _ SHOWER UNIT HEATERS _ KITCHEN SINK & DISPOSAL CLOTHES DRYER _ DISHWASHER RANGE HOOD _ LAUNDRY TRAY WATER HEATER _ CLOTHES WASHER METAL FIREPLACE/STOVE _ URINAL FIREPLACE INSERT _ DRINKING FOUNTAIN GAS FIREPLACE _ FLOOR DRAIN GAS RANGE _ BACKFLOW PREVENTER GAS PIPING _ SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN OTHER OTHER I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. Signature of Owner/Contractor/Authorized Agent Dale