Laserfiche WebLink
�� <br />PE.3MIT APPLICATiQ <br />CITY OF EVERETT PERMIT SERVICES <br />32�J0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAY. 425-257-8857 <br />SITE ADDRESS <br />(�r�� SE c'✓.eT M,y4 �-`� <br />LEGA LOTNO. BLOCK <br />DESC. <br />TRACT <br />PARCEL TAX I.D. # PERMIT x <br />_ I xCJ2G�-dD5 <br />""'�"' ADDRESS � ZIP PHONE <br />/�Q.,"sd.� 4�.w�>� <br />TENANTNAMB I CONTACTNAME <br />PHONE <br />/�S(9S E�S�•'�'�SU <br />CON7RACTOR ADORESS <br />���/nrf5d.v ���,,,.� /,,�C �93�0 /y�� A`� ��ZIP CONTR.LICENSEN <br />PHONE �3yd ) 4�3 - 75�(, Z !`�i�C.ln.�p�,v �iL2} �/N�2-'�ZG; <br />PROPOSED USE OF BUIL�ING <br />C'O �.'��� SNv/� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. � TYPE OF FIXTURE OR 17EM <br />_L <br />Duilding (((��� Mechanical <br />PERMIT � Combination j7�lumoing <br />TYPE Demolillan D Sign <br />Sprinkler <br />SDD v <br />WA I tH CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVcNTER <br />SINK (SERVICFJBAR/MOP/ETC.) <br />OTHEH S�� <br />li Addition I HEATSOURCE <br />K Alleralion R Electric <br />�l New �j Gus <br />U RepaiAMaint. U Other <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />N�• � TYPE OF FlXTURE OR 17EM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CEFITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORIDINACES GOVEflNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I 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 />CONTRACTORS LAV��8-�7 R�W qND 296.200 WAC. <br />