Laserfiche WebLink
P�RMIT APPLICATIC�J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-9810- FAX 425-257-8857 <br /> SITE ADDRESS .��� �1�'� �rA PARCEL TAX I.D.# PERMIT# <br /> S l0 8 `G'tr� rt d.i L�/ ��2 � � <br /> rt (�,� <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> ` 9 �.� �. �J�/OZG <br /> �/JGtfJ � � /•��O / 7J� /�� GdL�4/ird���/i `fZS-7�7-�"'_8'�/ <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> i�eas� S��� e I E� C!J /s7��% �z_s-z3 �� �7z � <br /> CONTRA��l1q C'r J'��P51�" S*'/t/• t.�1�C 3�0��//fr-l-///�d{IP CGO'N�Ll��ss0 <br /> � 9 yZ,� <br /> PHONE �����` 'f�Z('/� <br /> PROPOSED USE OF BUILDING BUllding bcl MeChanical [[[��� Addition HEAT SOURCE <br /> PERMIT R Combination � �� PlUmb(ng WORK � Alleration � Eleclnc <br /> TYPE D Demolition LJ Sign TYPE New Gas <br /> U Sprink!er Repair/Ma!�d. Other <br /> CONTRACT PRICE OF WORK ��j /� ? Q�U� CITY OP EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> y/ v <br /> WORKDESCRIPTION �J�U - �'�r'G��r�r'nat-� �/ D CT'Gf/��lG/ ��f ,fO�p <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM td0. . 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 /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIFEPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER L GAS PIPING <br /> SINK(SERVICE/BAR/MOPlETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. 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 AUTHORITY TO VIOLATE OR CANCEL THE PRO\'ISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEP.OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTyRA/C�TORS L�A,W�18.27 RCW AND 296.200 WAC. <br /> G�/" �(/��%�j'� 3 - $-o� <br /> Signature of Owner/ContractodAuthorizud Agent Date <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTEp <br />