Laserfiche WebLink
SITE ADDRESS <br />��10 EVE <br />LEGAL LO'� NO. <br />DESC. � � <br />� -- <br />ERMIT APPLICATION <br />CIYY OF EVERETT PERMIT SEkVICES <br />3200 CEDAR STRFET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-885% <br />�JU3 �)= 000c v I/ nG <br />BLOCK <br />f�6E INv��TM�Nrs, It�c <br />TENANT NAME <br />�pEGlJ+cl. lNt6��T �4UT0 <br />CON7RACTOR <br />PHONE `� �EY�TIiN �INE.� <br />PROPOSED IJuE OF BUILDING <br />���.7 �l c -03� <br />�> >/O � ��. <br />�h�1,6 �U6'[U M�irju <br />�tc aAU1LTI,ARAfY �Jl% � <br />TRACT �- <br />SE� 1.b61�c1. DESc..P 1 P�I ON 0�.1 Sl� <br />MYURGJJ ��• � •' �••� <br />6409 fl,EM� �.16 sr. 982A3 �4��) 34•8 - 1234- <br />CONTACTFORPERMIT (�j f��JDE���`% PIiONE <br />6h�R1�U� MUu.�� �c#t• �:u���'82-2911 <br />ADORESS <br />��5� 1.�_ <br />9uilding <br />PERMIT Combination <br />TYPE Demolition <br />Sprinkler <br />CONIRACT PRICE OF WORK � j/�-�O �/'�n �7 <br />RMechanical <br />Plumbing <br />D Sign <br />ZIP CONTR. LICENS: # <br />Ad�lilion <br />Aitcration <br />New <br />RepaidMaint. <br />HEATSUURCE <br />�Eleclnc <br />Gas <br />O�her <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORIC OESCRIPTION QO S� ���— ST��y gV�� ��� w�T� <br />NEI�J CONSTPs.1CTIdN OP h 2��-1 <br />O�lC6 SP�CE �N� l"W� C�� INS'P6CTlON ghYS• <br />NO. I TYPE OF FIY.TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK L DISPOSAL <br />DISHWl1SHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEfJTER <br />SINI< (SERVICE/BAR/MOP/ETC.) <br />NO. I TYPE OF FIXTURE OR ITEM <br />A!C -AIHANDLING UNITS <br />FOkC�D AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTNES DNYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/�TOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />3ASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ RND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS iYPE OF WORK �NILL 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 CON9TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />O OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AP!D I COMPLY WITH THE STATE <br />CO RA S LAW 827 RC6V AND 296.200 WAC. <br />�, ��--, /e�-ie�c� <br />Sig an ' OwnedConhactoNAuthorized Agen[ Dale � L <br />DE61T 8 CREDIT CARDS ARE NOT ACCEPTED <br />