Laserfiche WebLink
� <br />`� <br />P�i�MIT APPLICATItIV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDFiESS <br />607 s�. ��ce& <br />LCGA LOT NO. <br />�E$C. Lr <br />§WNER <br />6 a 7 PGa �'A <br />fENANTNAME <br />TH/�M' F�SR07f�GR S <br />CONTRACTOR <br />Mu.Tua�l. <br />PI10NE <br />.2n6-7 <br />.�/ PARCEL TAX I.D. # <br />rr,u,�u Wy ii i B�2 5- 3- d4o - <br />BLOCK TRACT <br />7� I�uS('�r,S Ln� G. <br />PROPQSED USE OF BL'ILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />7 s� <br />CONTACT NAME <br />ADORESS <br />qg3� 17rr� ��- sw <br />Buiiding Mechanical <br />PERMIT g Combination Plumbing <br />TYPE D Demolition Sign <br />U Sprinkler <br />`� s rr�u,k i i o �V �F <br />1'�'' <br />NO. I TYPE OF FIX7'URE OR REM <br />_ WATER CLOSET <br />BATHTUB <br />_ LAVATORY (WASH BASIN) <br />_ SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />_ DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />_ URINAL <br />_ DRINKING FOUNTAIN <br />_ FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPlETC.) <br />OTHER <br />PERMIT N <br />G'I <br />d3S <br />PHONE <br />�06 76 Q 66� 2 <br />ZIP CONTR. LICENSE q <br />G!'BIoG NUia�uo41D5 <br />Addilion HEATSOURCE <br />C Alleretion � Eleciric <br />New Gas <br />Repair/Maint. Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />ol.��- T yPr Z ICt TGH-G-n-r N-oo D <br />>ne�s��oN SysT� �sYor�c-ris <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />Iv1ETAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PI?ING <br />EXHAUSTFAN <br />OTHER <br />1 HEREBY CEPITIFY THAT I HAVE READ AN� EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PPESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LA REGULATING CONSTqUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS Pfi RTY TO PERFO�v1 THE WORK FOR WHICH P;�PLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTQRS LA 8.27 RCW AND�<16.200 WAC. <br />