Laserfiche WebLink
SITE <br />i <br />P�RMIT APPI_I�e4�'ION <br />CITY OF EVERETT PFF:MiT 3ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TA;< I.D. # <br />LEGA LOT NO. `� BLOCK ' TRACT <br />DESC. <br />OWNER ,/� ADDRESS --� o ay.�,c r9VC�r1I� <br />�/ � 17� 1� C� i1G� �i1e � o c��� KC V1�r o� FV P rP ��fi� l�l' <br />TENANT NAME V�n �( 0� CONTACT FOR PERMIT <br />�A11S�-0.�K I��S. , ,a��_�,-t�Yoe �n�e lod_�) �i.�f�'oi <br />PERMiT # <br />� 0�/c <br />�• �i�dao� <br />PHONE <br />�25 � 35S <br />a -D� <br />FaS. <br />35S•Ibl3 <br />� lp 13 <br />CONTRACTOR A�DRESS � ZIP CONTR. LICE SE # <br />7�hVl YV1Gl�--n �-j-'I�D `/� �i.l) �V . p `�t14Dy 12�OOaU�'1 <br />PHONE � a�5 � B� o� g s� e � 0��3 <br />�i�P_ ��' -F"r , �,UGI ' <br />PROPOSED USE OF BUILDING <br />1�\ nn PERMIT <br />�Va��—C �� I'}'i TYPE <br />�I C�tl S�� 1 �4f � <br />CONTRACTPRICEOFWORK 5500.�0 <br />�Building Mechanica) Addilion HEATSOURCE <br />Combination R Plumbing WORK � Alteration �i Electric <br />Demoli6on � Sign 7YPE New Gas <br />Spfinkler Repair/Maint. Olher <br />''(�' . �� � �_ � CITY OF EVERETT LOCAL SALES TAl( CODE IS 3105 <br />\� WORK DESCRIPTION 1� � � �'jl� � p' (1 I,., n, V r� y� /� � c� 1� � <br />J w��cti l/Y V� � ��� I,J v � <br />S�e �A�'i�S �� . I�oo t(�..r � �� ��, �� 3�1-" �� sC � 3 S' �cLvv1�0 <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUhTAIN <br />FLOOR DRAIN <br />BACKFLOW PP.EVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. .� IYPE OF FIXTURE OR ITEM <br />A/C -A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER ,` I ,(� <br />METAL FIREPLACE/STOVE �V / �`� <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT i HAVE F2EAD AND EXAMINE� THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA5'✓S AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE� 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 />OWNER OF THIS PROPERTY TO�P ORM TH WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� NTftAC�`.o t� i C�/J AN � 96.200 AC. �� �, I� I, O�'�" <br />\ l <br />1 I --�.� <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />