Laserfiche WebLink
PLRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />C� (13�1 <br />PARCEL TAX I.D. # <br />s i cxX c315Z� <br />PERMIT # <br />l'� S��I3 <br />LEGA LOT NO. <br />BLOCK <br />QTRACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />5kn��m� Qr6-VT 1JJC -)-40 n a rckst na :�&Cck 9C — <br />NAME <br />NE <br />CONTACT_V PERM1�, <br />1 <br />Cvv' <br />n J <br />tr���`y� <br />v ` <br />CON ACTOR /���� ADDRESS ZIP CONTR. LICENSE # <br />�5 a.. v� scw � l \ nu) �) )o�— l <br />/c+ <br />PHONE <br />�S3 �c� S7n(n`1 <br />PROPOSED USE OF BUILDING <br />PERMIT <br />RR �rw�•c�e• <br />Bumbillealiorr I ) Plumh ngal <br />;;;]]] dition <br />WORK4Repa <br />H�EAIGT(YSE QRCE <br />TYPE <br />IL-J( Demolition D Sign <br />TYPE New <br />f,..j Gas <br />V <br />r/MaInL <br />U Other <br />CONTRACT PRICE OF WORK PRICE OF WORK CONTRACT PRICE <br />CITY OF EVERETT LOCAL OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION;� -d , arIc— <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET (TOILET) <br />A/C - A/HANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLAG: INSERT <br />_ <br />_ <br />DRINKING FOUNTAIN <br />GAS FIREPI-h^:E <br />FLOOR DRAIN <br />GAS RANGE <br />_ <br />_ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FA.N <br />OTHER <br />OTHER ICrY� I . _ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORR.-.CT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEL 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 3Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Agent Date <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />