Laserfiche WebLink
. <br /> � : � <br /> � <br /> � PERMIT APPLICATI f� <br /> � CITY OF EVERETT PERMIT SERVIGES <br /> 320C CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> S�TE ADDRESS PARCEL TAX I.D.It PER T a <br /> �� ll r a 3/D � ; <br /> LEGA LQTNO. BLOCK TRACT <br /> DESC. . <br /> OWNER AODRESS ZIP PHONE <br /> Sfi�di�+ ^� l3er R��J Gr�L�- <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> S��f <br /> CONTRACTOR P.DDF.ESS 21P CONTR.LICENSE M <br /> PHONE �\✓ �j � �S � � / Q 7 7 <br /> PROPOSED USE OF BUILDING f3uilding D Mechanical Additlen HEAT SOURCE <br /> PERMIT R Combinalion u Plumbing WORK � Alteration n Electnc <br /> TYPE D Demolition (.J Sign TYPE New � Gas <br /> U Sprinkler Repair'Maint. Other <br /> CONTRACT PRICE OF WQRK��;� ��ov.4 0 CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> WORKDESCRIP110N �)HT- ' � �„i���I k�' /1 s� S�h� ' i <br /> PLUMBING 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 AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KIiCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHW�SHER RANGE HOOD <br /> LAUNDRYTRAY WATER NEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIRFPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACI<FLOW PREVENTER � GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br />� OTHER OTHER <br /> I HEREBY CERITIFV 7HAT I HAJE READ AND EXAMINED 1HIS APPLICATION AND KNOW THE SA�9E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND GRIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITr1 WHE7HER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTFiORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAN'REGULATING CONSTRUCTION ON THE PcRFORMANCE OF CONSTRUCTION. THAT I AM AUTHGRIZED BY THE <br /> OWNER OF THIS PROPER iY TO PERFORf�i THE 1VORK F�7R WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.E7 RCW APJD 296200 WP.C. <br /> 1 ,�7 � <br /> /�!� �\ <br /> Signature of O r Contractor/Authonzed Agent Date (� �IL� <br /> DEBIT& CREUIT CARDS ARE NOT ACCEPTED <br /> �../ <br />