Laserfiche WebLink
� <br /> �- PE�r2MIT APPLICATIO� <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.D.# PERMIT u <br /> �JG21 _ f/��<crta)n� �l�l_-1 r1010U� ��`� ��o—DG <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> ���c� 1i,tv✓1 �Pta�fr U-G ��I-1 Q�cl�r'k11e✓ A1� �zD� ��IZ5 �ZI2 zz10 <br /> TENANT NAME CONT.�:�?FOR PERMIT PHONE <br /> � I �uL� Woddarc{ (�IZs) S�a- 3�1�t <br /> CONiRACTOR �L�MO'�- ,PHf��i CMN�rIUS DRESS �� Q_ _ 5�'L.� 21p CONTR.LICENSEN <br /> a,cnc <br /> PHONE <br /> �1Z5 -� i3 - i�to 1 �Cdei�l-f � �,1A� r1�CL�b CL.Yrn 6(.�i�57Z <br /> PROPOSED USE OF BUILDING Building D MeChaniCal Addition MEAT SOURCE <br /> PERMIT R Combination U Plumbing WORK � Alleration � Electric <br /> IYPE ��'�"Demolition U Sign 1YPE New Gas <br /> D Sprinkler Repair/Maint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SA�ES TAX CODE IS 7705 <br /> WORK DESCRIPTION — <br /> �vl'�o �� Prx� 54;..� S F Q `s c,r�d ��j a,-.�,',-r-� `�,K� b�c1�S - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR IiEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> _ BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UNITHEATERS <br /> _ KiTCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISi�WASHER RANGE HOOD <br /> _ L4UNDRY TRAY WqTER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUSTFAN <br /> _ OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND E)G4MWED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. qLL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILI.BE COMPLIED WITFi WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NGT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFO;;MANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO FERFORM THE INCRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> � ,( t— �v/ <br /> SignaWre o(Owner/Contractor/Authonzed Agent Dal�o � <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />