Laserfiche WebLink
SITE ADDRESS <br />LOT N0. <br />I�tRMIT APPLICAT��N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� OCK �I TRACT <br />G. ( 4JTp� <br />PARCEL TAX I.D. M <br />� <br />A�lTla \� SBOI T'Qs�QnT '� �rc10�Jt�'j Wtil �$024a <br />TENANTNAME CONTACTNAME PHONE <br />�-a�aG4 � G45�u.a� <br />�j . w . �'.ca�.,.,., � sv�,-r �C3 � c.�. M �u.�, "Zo6 • � �5 ' 1 Z� "� <br />CONTRACTOR ADDRESS Zlp CONTR.LICENSE# <br />PC3�2t.g �A . � p�}.p� 1<�u�( f� <br />PHONE / , � (J ` i ��'�(2L � s Gif�,J� <br />V/— �,: 1 I� i' < h e� (�f'?-�l �'to.J W�. �t S I o�{- •J ` <br />PROPOSED USE OF BUILDING <br />V _��� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />Building ���JJJJJJ Ivlechanical <br />PER�AIT � Combination � Piumbing <br />7YPE Demolition Sign <br />Sprinkler <br />Adtlition <br />WORK Alteration <br />TYPE New <br />Repair/Maint. <br />HEATSOURCE <br />Electric <br />Ges <br />Olhe� <br />CITY OF EVEREl7 LOCAL SALES TA% CODE IS 3105 <br />�%"�� �e.� �fic.a /'���'�.��E '-(b Foop c�av.., l�� <br />I <br />NO. � TYPE OK FIXTURE OR ITEM <br />_ WATER CLOSET <br />_ BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />._ KITCHEN SINK 8 DISPOSAL <br />_ DISHWASHER <br />_ LAUNDRYTRAY <br />_ CLOTHES WASHER <br />_ URINAL <br />_ DRINKING FOUNTA�N <br />_ FLOOR DRAIN <br />_ DACKFLOW PREVENTER <br />_ SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />NO. � TYPE OF FlXTURE OR ITEM <br />/�/c - A/hiANULING UNITS <br />FORCED AIR SYSTEMS <br />NEAT PUMP <br />UNIT HcATERS <br />GLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />MEfAL FIREPLl+.CE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS 1YPE OF WORK WILL BE COM17PLIED WITH WNETHER 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 R ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPE TY T PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 7 R ANO 296.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />��L <br />