Laserfiche WebLink
PLHMIT APPLICAT16N <br />11 a, CITY OF <br />EVERETT PERMIT SERVICES <br />3200 CEDAR STRFFT, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS <br />PARCEL TAX I.D. X PE I <br />5929 EVERGREEN WAY <br />LEGAL LOT NO. BLOCK <br />TRACT <br />DESC. <br />OWNER <br />I <br />I <br />ADDRESS <br />jPHONE <br />I <br />TENANT NAME <br />CONTACT NAME <br />I <br />i PHONE <br />CHC EVERETT CLINIC <br />CONTRACTOR <br />4 ADDRESS <br />�CONTR.LICENSE� <br />COMMERCIAL FIRE PROTECTION,INC <br />PO BOX 128 MOUNT VERNON, WA 98271 I <br />COMMEFP132MM <br />PHONE <br />I! <br />PROPOSED USE OF BUILDING <br />Mechanical <br />Addit.on <br />HEAT SOURCE <br />PERMIT <br />Plumbing <br />WORK <br />Alterztion <br />Q� Electric <br />TYPE <br />Ksuilding;' <br />SignTYPE <br />New <br />Gas <br />Repatn'Malm. <br />Other <br />CONTRACT PRICE OF WORK - 00 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />TENENT IMPROVEMENT <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />A/C — A/FIANDLING UNITS <br />_ BATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER_ <br />KITCHEN SINK E DISPOSAL <br />_ <br />UNIT HEATERS <br />DISHWASHER <br />CLOTHES DRYER <br />CLOTHES TRAY <br />_ <br />RANGE HOOD <br />CLOTHES WASHER <br />_ <br />WATER HEATER <br />_ <br />URINAL <br />_ <br />METAL FIREPLACE/STOVE <br />DRINKING FOUNTAIN <br />_ <br />FIREPLACE INSERT <br />DRAIN_ <br />GAS FIREPLACE <br />PflEVENTER <br />GASRANGEACKFL04V <br />GAS PIPINGINK <br />(SERVICE/BAP/MOP/ETC.) <br />_ <br />EXHAUST FANTHEE <br />OSFLOOR_ <br />CRRT KLER ut:ADS <br />_ <br />OTHER_ <br />1 HEREBY CERITIP/ THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE <br />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 PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />RS LAY! 1827 RC'I`J P,�JD 290200 WAC <br />D I COP.IPLY 4'/ITH THE STATE <br />*JEHISPROPER <br />Owner/ ontractor Authorized Agent <br />Date <br />