Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE AD`D,RESS � I PARCEL TAX I.D.# P IT (� <br /> A J F7,R ' _� <br /> G � ������bl -��C � ���7� v��lU �i � � <br /> LEGAL LOTNO. BLOCK TRACT � <br /> DESC. 1 �� � � Z7 l <br /> OWNER AD�RESS ZIP PHONE <br /> c��i�� �az�up .��li! �v�,z��l�uc `��2v� ���1-3ac�-��7s <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> �-- 4X)• <br /> JLr�� �/ZZ:�f> `tZS-Y;c;-3-`>����1 l2�! <br /> CONTRACTOR ADDRESS �j� ZIP CONTR.LICENSE# <br /> �,i�1 �2 tr y1��L�H���U4L �,��c:�L . GiL�3d /�3 r1G�.,(�'. N�L-2i i t�nTl(�3�w� <br /> PHONE ) C <br /> �� ����'�/'�i�� fXi- �Z�`TL �EUbG1G�A)C���� l�jz <br /> PROPOSED USE OF BUILDING Building �,�ry.,/�M_echBnical Addillon H AT SOURCE <br /> P.��MIT R Combinalion '(� Plumbing WORK �Alteralion �lectric <br /> � �"' (� . TYPE Demolition U Sign TYPE �ew Gas <br /> C K Sprinklef RepaidMaint. Olher <br /> CONTRACT PRICE OF WORK I J��D Z�l��I CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK�ESCRIPTION �" � � I �� C �( ��r��(CGl�I ZC�/%!'7� �CCL/ �Gl/1iU �' tI7�El� I� �P <br /> l <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> _ �P,VATORY(WASH BASIN) � HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KN01N THE SAA1E TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING TMIS h'PE OF IVORK WII.L BE COAIPLIE�WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERA7IT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA?E OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL W6V REGUL ING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I P.M AUTHORIZED BY THE <br /> OWNER OF THIS PR PERTY TO EP,FORh7 THE WORK FOR WNICH APPLICATION IS�dADE AND I COMPLY WI7H THE STATE <br /> CONTRACTORS -�18.2�C1 AND 296.200�NAC. <br /> .� �� .� / " �� �L <br /> Signatu, , n Contr ctor/Authorized Agent Date <br /> � DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />