Laserfiche WebLink
P���MIT APPLICATI4�J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SI7E A�DRESS PARCEL TAX I.D.N <br /> PERMIT M <br /> �( � q-� <br /> LEGA LOT NO, BLOCK 7RACT <br /> DESC. <br /> ��R A�DRESS ' s ZIp PHONE <br /> �p�?e S � �u✓'i� � �3.�.�,, � -s9r�� 9.�ia$ � <br /> TENANTNAME CONTA TNAME <br /> r PHONE <br /> l�lA'I�nN� �fr,e.� i �j�� i �l'l �� �� ✓�l2s LC �S-3� T bSJ7/ <br /> CONTRACTOR ADDFESS ZIP CONTR.LICENSE N <br /> PHONE <br /> PROPOSE�USE OF BUILDING Building Mechanical i") Atldition MEAT SOURCE <br /> PERMIT Combinalian RI--( Plumbing WORK � � Alteration Q E�ectric <br /> TYPE Demolition LJ Sign TYPE �,�Jew �] Gas <br /> Sprinkler lORepaidA7aint. U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> WORKDESCRIPTION 2e �o�� �X}� �,� n�� <br /> � /c <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM NO. TVPE OF Fl%TURE OR ITEM <br /> _ WATERCLOSET _ A/C—A/HANDLINGUN�TS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATOFY(WASH BASIN) _ HEAT PUMP <br /> I _ SHOWER _ UNITHEATERS <br /> � _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> i _ DISHWASHER _ RANGE HOOD <br /> , _ LAUNDRYTFAY _ WATER HEATER <br /> _ C�OTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS flANGE <br /> _ BACKFLOW PREVENTER _ GAS PIPING <br /> _ SINK (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER <br /> _ OTHER <br /> I HEFEBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. 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 AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANY 07HER <br /> STATE OR LOCAL LAW REGULATING l;ONSTRUCTION OR THE PcRFORMANCE OF CONSTRUCTION. THAT�AM AUTHOR�ZED BY THE <br /> OWNER OF T PROPERTY T PER RM THE WOFK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRAC O LAW 18.2 _A 96200 WAQ / <br /> � �, �K:.� � <br /> Sig atuzr ot QwnerlCo /r�ctodA Ihonzed Date <br /> �,f'07'LC� U f- d�r/'�e/� <br />