6817 BEVERLY BLVD 2016-01-01 MF Import

SITE ADDRESS � LEGA LOT NO. P�.l�MIT APPLICATII,N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425457-8810 - FAX 425-257-8857 BLOCK I TRACT PARCEL TAX I.D. # c�r�I � ev�,�r�- 3�oi c�e ��- q�zo/ a�7_ ss�� TENANTNAME � CQNTALTNAME � PHONE ADDRESS PHONE 21P CONTR. LICENSE M PROPOSED USE OF BUILDING Building f"1 Mechanical Addilion HEAT SOURCE ��S�r�6 PERMIT Combination �_� Plumbing WORK Alteration Q Electric TYPE Demolilion �� Sign TYPE � New u Gas ��"'-�-7J�Cj{K� Sprinkler Repair/Maint. U O�her CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 WORK DESCHIPTION �.ti1oLl�f �/sT1�t/Fs ,2Esl/�,Ei(!GE N0. � TYPE OF FIXTURE OR ITEM _ WATER CLOSET BATHTUP LAVATOR'! (WASH BASIN) SHOWER KITCNEN SINK 8 DISPOSAL DISHWASHER LAUNDRYTRAY CLOTHES WASHER UR�NAL DRINKING FOUNTAIN FLOOR DRAIN E'ACKFLOVV PREVENTER SINK (SERVICE/BAR/MOP/ETC.) _ � OTHEH NQ. � TYPE OF FIXTURE OH ITEM _ A/C — A/HANDLING UNITS _ FORCED AIR SYSTEMS _ HEAT PUMP _ UNIT HEATERS _ CLOTHES DRYER RANGEHOOD WATER HEATER METAI FIREPLACE/STOVE _ FIREPLACE INSERT _ GAS FIREPLACE GAS RANGE _ GAS PIPING _ EhHAUSTFAN _ OTHER I HEREBV CERITIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TU BE TRUE AND CORRECT. ALL PROVISIONS OF L1WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEAEIN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OP LOCAL LAW FEGULATING CONSTF7UCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF TNIS PROPERII' TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTFACTOFS LAW 18.27 RCW AND 296.200 WAC.