Laserfiche WebLink
SITE ADDRESS <br />a �n/A�Nur <br />IEGA LOT NO. <br />.� TENANT NAME <br />�� C �Frl,O E���i.�«t� <br />� PERMIT APPLICA� I�DN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />T <br />BLOCK <br />7RACT <br />PARCEL TAX I.D. �1 <br />I CONTACT FOR PERMR <br />u�ws+�P DA�E �A�Is� <br />CONTRACTOR r{'�/{RsNA�-� s�C.ti S <br />P�o�E�{a s-a s�-G � a � <br />PROPO"�ED USE OF BUILDING <br />CONTRACT PRICE OF <br />WORK DESCRtPTON <br />� + k �6 r srG�. <br />a X � a` s � U� <br />NO. I TVPE OF FI7CTURE OR ITEM <br />,�,[ � ADDRESS a. I Ia EV E:-E� � <br />E�EF�T� wr <br />Bullding Mechanical <br />PERMIT B Combinatlon � Plumbing <br />TYPE ❑ Demolitlan Sign <br />U Sprinkler <br />Tu �i E <br />Td f� f <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOW ER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DR41N <br />BACKFLOW PREVENTER <br />S�NK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />PERMIT N <br />> 0305��� <br />PNONE <br />�s'a—Gso <br />ZIP CONTR. LICENSE � <br />4 �'"� Go� /7r / 7 r <br />�AddlUon <br />Alunaon <br />Ntw <br />RepairlMaint <br />HewrsouacE <br />LbWic <br />Gas <br />OUer <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 7106 <br />t,vri hLC�p <br />� Ns7��(,G� <br />�U <br />u <br />%j G. t:�� N% _ <br />1g �t � �O' a/ �- <br />NO. I TYPE OF FU(iURE OR ITEM <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 FIREPLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SM1E TO BE TRUE AND CCRRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI7H WHETHER SPECIFIEO HERE.IN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME l O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTNER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMHNCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br />O NER O�PERTY TO PERFORA� Tt1E WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />TRA ORS '18.27 RCW ANO 296.200 WAC. <br />.�/ /a r <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />