3200 CEDAR ST BLDG 1 2018-01-02 MF Import

F .:RMIT APPLICATI, _ N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 — FAX 425-257-8857 SITE ADDRESS / PARCEL TAX I.D. N PERMIT w -1 �o LEGA LOT NO. BLOCK TRACT DESC. — J� y✓I `--'Cl ,/(yam/ /` OWNER ADDRESS J L .e� �ZIP DONE 7 / TENANT NAME ) 4 to CONTACT NAME PHONE 1�on �7'��ti;�� C�L�zs7-y6 n fiS ZIP CONTR. LICENSE N CONTRACTOR ADDRE CGy,�r1��y f'/1�441. PHONE PROPOSED USE OF BUILDING n Ficilding Mechanical AAdition HEAT SOURCE PERMIT IIr--�� 'combination ,11I"q�1 Plumbing WORK Altoratlon Electric T�. PE �emolitlon LJ Sign TYPE New Gas Sprinkler RepmnMaml Other CONTRACT] PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 WORK DESCRIPTION PLUMBING MECHAt, NO. TYPE OF FIXTURE OR ITEM - NO. TYPE OF FIX 1 ni n " T — __ WATER CLOSET -- " _ BATHTUB 1" _ L1VATORY(WASH BASIN) — HLAI I'1IL11 _ SHOWER — UNIT HEATERS _ KITCHEN EINK & DISPOSAL — CLOTHES DRYER _ DISHWASHER _ RANGE HOOD _ LAUNDRY 1 RAY >wi, WATER HEATER CLOTHES WASHER _ METAL FIREPLACE/STOVE URINAL — FIREPLACE INSERT DRINKING FOUNTAIN _ GAS FIREPLACE FLOOR DRAIN — GAS RANGE __ BACKFLOW PREVENTER — GAS PIPING _ SINK (SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN OTHER_ — OTHER I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC Slgnalure of OwneuCo r or/Authorized Agent _J