Laserfiche WebLink
SITE AD RESS <br />/ <br />LEGAL LOT N0. <br />DE3C. <br />OWNER <br />TENANTNAME <br />C�RACTOR <br />L-L _ <br />P E l � � <br />d�. <br />P�tRMIT APPLICATI(�N <br />CITY OF EVERET'T PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />S`���''' � I PARCEL TAX I.D. # <br />TRACT <br />ICONTACT FOR PERMIT <br />�03v�-�� <br />PERMIT # <br />PHONE <br />� � � �� ' � DD �S� E I � ,7.�y � � .� � �� ZIP CONTR. LICENSE # <br />-r�,f�. �.�a� z os <br />-3�-►-a3�� w����������. �� 98�v�2 <br />PROPOSED USF OP BUILDING <br />i�," �. 4,« Lo Ac `^. S <br />CONTRACT PRICE OF WORK <br />WORK �ESCRIPTION <br />J ��%-tV` � OV` <br />�Building Mechanical <br />PERMIT Combinalion R Plumbing <br />TYPE Demolition � Sign <br />Sprinkler <br />dition HEATS �E <br />AlteraUon Electric <br />New Gas <br />RepaldMalnL Ofher <br />CITY OF EVEZETT LOCAL SALES TAX CODE IS 3105 <br />����� �-������� <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 />LAUNDr Y TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. _ � TYPE OF FIXTURE OR ITEM <br />AIC — A/HAND�ING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYcR <br />R4NGE HOCU <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R,4NGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I FIEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAh1e 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 VIOL.4TE OR CANCEL THE PROVISION OF ANY OTH'cR <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OYJNER OF THIS PROPERTY TO PERFOR" -. i HE WORK FOR WHICH APPLICATJJ ON IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT� 27� AND 296.200 WAC. � I �/0 <br />�2 3 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />