Laserfiche WebLink
PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.U.# PERMIT# <br /> a � B oyoG_D�� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> V�Ilu��i�c � o{� �mec�c�. a8a1 ��c�ac�www ya.� ��9- �19r <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �Sa,�,t q� �ba.� ��ii sa,�w�� y�=�� -3�9► <br /> CONTRACTOR DDRESS CONTR.LICENSEM <br /> �M�VH'� �h�1K�0"� GfOJ��1(�L• �Ldl�/ 7A� �'!e �. <br /> PHNt�� 33y- 69/8 ��e�'�.T `-`i � � e�l�jlo 7.� <br /> PROPOSED USE OF BUILDING Building I� Mechani al <br /> PERMIT R Combination E_� Plumbing Alteratlon � ElecUic <br /> 1YPE D Demolition LJ Sign IYPE New Gas <br /> U Sprinkler Repa�uMalnt. Olher <br /> CONTRACT PRICE OF WORK_r�S O � . UO CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> y <br /> WORKDESCRIPiION ��S�IQ1�O�l OF �!-W f�'Lqq �0`Q, <br /> � J <br /> � ��/%"1,�:%; (Clti�; U� , lr.��� <br /> � <br /> i <br /> PLUM8ING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED A�R SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK& DISPOSAL CLOTHES DRYEk <br /> DISHWASHER T RANGE HOOD <br /> IAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR�RAIN GAS kANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(FERVICc/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY�ERITIFY THAT I HAV[READ AND E.KAMINED THIS APPLICATION AND K�OW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> I PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEf2EIN OR <br /> ' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLITE OR CANCEL THE PROVISION OF ANY OTHER <br /> � STATE Oft LOCAL LAVJ REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEP.OF TH�S PROPERTY TO PERFORA9 THE�JORK FOR WHICH APPLICATION IS A1ADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LFW 18.27 R AND 296.:00 WAC. <br /> ���r{�i�� 6 �0��/ � <br /> �`ignature of rac or/ ut onzed Agenl . ' C:,T ta i-- . <br /> `� DEBIT & CREDIT CARDS ARE NOT ACCEPTED �Id I <br /> I <br />