6625 BEVERLY BLVD 2016-01-01 MF Import

� SITE ADDRESS LOi N0. OESC. P�r�MIT APPLICATIG.J CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425 257-8810 - FAX 425-257-8857 BLOCK � TRACT f1} TAX I.D. # PERh11T M Xo aD3-ac� TENANTNAME CONTACTNAME v � PHONE 3�,v 43r� r�.2c hlo�,lc SAMr CONTRACTOR AUORESS ZIP CONTR. LICENSE N PHONE PROPOSED USE OF BUILDING CONTRACT PRICE OF WORK WORK DESCRIPTION S jRTzS. Building Mechanical PERMIT � Combination � Plumbing TYPE Demolition Sign Sprinkler Addi�ion Alteralion New Repair/Mainl. HEATSOUR�E Eletlric Gas OlhOr CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 QAT2 giF'T1i �1ao.,.,� i�,h' �f{�SE�Mn rJi NO. � TYPE OF FIXTUHE OR ITEM I � WATER CLOSET � BATHTUB � LAVATORY (WASH BASIN) SHOWER , _ KITCHEN SINK 8 DISPOSAL DISHWASHER LAUNDRYTRAY I = CLOTHES WASHER URINAL DFINKING FOUNTAIN I _ FLOOR DRAIN BACKFI.OW PREVENTER _ SINK (SERVICE/BAR/MOP/ETC.) _ OTHER N0. � TYPE OF FIXTURE OR 17EM _ Wl: — A/HANULINCi UNITS _ FORCED AIR SYSTEMS _ HEAT PUMP _ UNIT HEATEflS _ CLOTHES DRYER _ RANGEHOOD _ WF,TER HEATER _ METAI FIREPLACE/STOVE _ FIREPLACE INSERT _ GAS FIREPLACE _ GAS RANGE GAS PIPING � EXHAUST FAN _ OTHER I HEREBY RITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVI N n� LAWS AND OFIDI��ACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIFD WITH WHETHER SPECIFIED HEREIN OF NOT. HE NTI OF A PERMIT DOES NOT PRESUME TO GIJE AUTHOR�TY TO VIOIATE 0.7 CANCEL THE PROVISION OF ANY OTHER STAT OR A�W REGULATING f;ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OW ER T I P OPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CO R W 18.27 RCW AND 296.200 WAC.