Laserfiche WebLink
SITE ADDRESS <br />/ �(p 3 �= <br />LEGA l0T HO. <br />DESC. <br />� . (.:�+✓, <br />TENANT NAME <br />CONTRACTOR <br />PCRMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. # P MIT <br />ST �`� ��c�3��- <br />BL(X:Y. TRACT <br />5�ss u� <br />PHONE O /' . �v / � <br />IJLJ J�_.L. <br />03 r[L-j►w,ti-� sr <br />ICONTACT FOR PERh!rt� <br />ADDRESS <br />Y�ad3 '1�s7.S-o � <br />PHONE <br />LP CONTR. LICENSE N <br />PROPOSED USE OF BUILDING f� 6Uilding MeChaniCal f� Ad�iitlon <br />PERMIT F_� Combination R Plumbing WORK K Altf.ratlon <br />TYPE �__� Demolition � Sign TYPE �,.,� New <br />L� Sprinkler Ll RepaiNMalnt. <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />Z.� (Zc�o j <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 />LAUNDRY TR,4Y <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />HEATSOURCE <br />Elecaic <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br />NO. ,� TYPE OF FIXTURE OR �TEM <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 <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBV CERITIFY THAT I HAVE READ AND EXAMINEC i HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING �F11S TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUIdE 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 � AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT W 18. 7 RCW AND 296.200 WAC. <br />� • ��--�> .� -/.�- o �-/ <br />DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />