Laserfiche WebLink
P� �MIT APPLICATII <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-25'-8857 <br />S � C G-t��'i"i %1h�-L (.t,1 <br />LOT N0. BLOCK <br />DESC. <br />TENANTNAME <br />PARCEL TAX I.D. n <br />TRACT <br />CONTACT FOR PERMIT <br />PHONE <br />' S��S � �� C��,� 20(�3�,0 �r3o� � <br />COIJTRACTCR ADDRESS ZIP CONTR. LICENSE n <br />SAt�«'3iTts SAT-E�`I �pp (}1(ZP1� 11�al� S <br />PHONE <br />PROPOScO USE OF BUILDING <br />COIdTRACT PRICE OF WORK <br />� 9gi3� �c 5s2�o �a <br />Building echanical <br />PERMIT R Combination �lumbing WORf <br />TYPE Demolition U Sign TYPE <br />Sprinkler <br />� <br />Addition <br />Alteralion <br />ew <br />RepaidMaint. <br />HEl�T SOl1P,CE <br />Electric <br />Gzs <br />Olhef <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3'OP <br />WORK DESCRIPTION <br />�Ns�u- ny;—w cntr��crt� 'g�c,� kas� -�-��r,+ SUpP2�Ssoa <br />sys�� -,-� PR� -p� Pca ttu�'. <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />U�VNTORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISF;INASHER <br />LHU�JDRY TRAY <br />CL07HES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACI<FLOW PRcVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />NO.. I TYPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTERIS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS R4NGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />VW) �\mPruSSI �^- <br />I HERE91' CERITIFY THAT : HAVE READ AND EXAAIWED THIS APPLICATION AND KNO\N i HE 8A1�1E TO BE TRUE AND CORREC-. ALL <br />PROVISIONS OF LAVJS HND ORIDINACES GOVERNING THIS.TYP[ O'r WORK VJILL BE COIdPL1=D N9TH WHE7HER SPECIFIED 1-'EREIN OP, <br />NOL THE GRANTING 0= H PEP.IdIT DOcS NOT PRESUME TO GNc AUTHORITI' TO'JIOLATE OR CANCEL TH� PROVISION O� �.NY OTHER <br />STP.TE OR LJCAL LAVJ P,�GU�TING CONSTRUCTION OR THE PERrORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OVdNER OF 7HIS ?ROPERTY TO PERFOR(vt THE WORK FOR 1NHICH APPLICATION IS MADE AND I COMPLY V�'ITH THc STATE <br />COIJTRA OR LA1N 18.'_'7 RC'vV AND 29'0.200 WAC. <br />�„Q _ \�31 �, <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />