Laserfiche WebLink
RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />C�� C�IC� �� <br />SITE ADDRESS PARCEL TAX I.D. # E�2MI`T # y� <br />i� 13 ��" i�it� l� n ���.,\ � -�.,c C, � ^y �7� ��` l.i(11/C.)�.'(..�.� <br />4�\ � l "L'\'` ll�`-'a �`1 L'� ��X.d�- 1�� 7ul <br />LEGAL LOT NO <br />DESC. � <br />OWNER <br />BLOCK TRACT <br />7 <br />.� �,,,�� <br />ADDRESS <br />��iIIS <br />P P <br />�r': �� �. �r�. [ �1� � ���� � t._.L.t � �o �� �.-35�A � � 5 � t3��� ���� �-a. 7� <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />� ___- � '- •� 1� �--��5�`'z'ri <br />CONTRACTOfj� ADDRESS r' <br />� c�' c� ��2.. ���u'`�; '�S�'� yl.-.'�...,ti 1'� L`'� �"' �5�` f��5 � S�F_ <br />PHONE <br />.�������, <br />PROPOSED USE OF BUILDING �uilding �Mechanical <br />� �� ��,� � �,��,_,` PERMIT Combination Plumbing <br />� < TYPE Demolition Sign <br />� 1����,,,.,� Sprinkler <br />C�iI, � � ;7_�i�� 7 [K��I ��L�I :7 ./ <br />WORK DESCRIPTION <br />� �� � �� ��.�� <br />f�[i�i�/1�il�,yl �i�l.���]:iiL�ul <br />�_ <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />t-f�s -� � 3- i�l I g <br />ZIP � C� <br />���� q����� <br />, . <br />�NTR. LICENSE,# <br />�.�� 1�-��.`"�'�3�Ci <br />Addition HEAT SOURCE <br />WORK Alteration Electric <br />TYPE ew � Gas <br />Repair/Maint. �� Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�.-� K e 1 c��,� � c�.�. l. 3 i <br />MECHANICAL <br />NO. I TYPE OF FIXTURE 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 FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />i HEREBY 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 WILL BE COMPLIED WITH WHETHER SPECIFIED 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 />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Siyn <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED ,��%' �' ��� �� <br />