Laserfiche WebLink
� <br /> PEFtMIT AI�PLICATl�N <br /> CITY OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREET, EVERETT, \'VA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5 SDS ����'''-Cr✓�7J Vv/�. C��o7' �%�1 <br /> LEGA LOT�O. BLOCK RACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> �\ ��.� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> P�c,S��v, c��� ,Srcj� ��r�,� (`��r►�► (LI L5)�� �-c.��'z���r z� 7 <br /> CONTRACTOP. ADDRESS � ZIP CONTR.410ENSE# <br /> w�.SCG CC✓tSk�;C��av� `�1�( P� ���t SUO�=:, �J[:�COC90�77C� <br /> PHONE <br /> ^ z�� ��� -oqzc� �n��37 l�lnn�.rc�cc.,UJ� �1g0`�� � �- �o -as <br /> PRJPOSED USE OF BUILDING Building � Mechanical Addition FIEAT SOURCE <br /> PERMIT � Combination Plumbing WORK � Alteretion �Electric <br /> n, �� `��1�.tl1 TYPE Demolition Sign TYPE New Gas <br /> �"�" � Sprinkler RepaidMainL Other <br /> CONTRACT PRICE OF WORK Q�� rl�� CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> n� ''. 1 <br /> WORKDESCRIPTION � � �I� 1�1�I' �� C� � OI�CC��� <br /> z,vsFw-�� �-r� 1,�s�ed `���� � Sr�r�� f5a � <br /> — �oW¢� Co�r,✓e �-C i- oavL <br /> • ��1 ��is�- 'v��� �'1�,10 Se�J��� 82��,�%z S'�,cr(� �eF� <br /> �i �• pt, L,,a �'�,Q �36cr�'1 i�S Le�cra`e � {;�w� L i �� �c;vrL��fv�l !�S e�.�k��- <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. . TYPE OF FIXTURE OR!TEM <br /> WATER CLOSET(TOILET) A/C-A�HANDLING UNITS <br /> BATHTUB — FORCED AIR SYSTEMS �j <br /> ` LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UitiIT4EATERS _n <br /> KITCHEN SINK&DISPOSAL CLOTHES DRYER �1`�J <br /> = DISHWASHER _ RANGE HOOD � �� <br /> LAUNDRY TRAY WATER HEATER I <br /> CI.OTHES WASHER META�FIREPLACE/STOVE <br /> URI�AI_ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIP,EPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER �_ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN ' <br /> _ OTHER _ OTHER�!, � S / - �t W� I�UC�'I�°� <br /> J <br /> I HERE?Y CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIE�HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STAT OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWN R OF THIS PROPERTY TO PERFORM THE�VORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CO RA R�7 RCW P.ND 296.200 WAC. <br /> �7 �- 3 U'0`f <br /> n t e of Owned�ontracrodAuthorized Agent Date �I� <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br />