Laserfiche WebLink
� <br />SITE ADDRESS <br />%O S� 1G ef <br />LEGA LOT N0. <br />DESC. <br />OWNER �/�/U�.O''� <br />---lf---=/� <br />TENANTNAME ���ns�,in� <br />P�RMIT APPLICATII�N <br />CETY OF EVERET;' PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F.AX 425-257-8857 <br />PARCEL TAX I.D. # <br />BLOCK I TRACT <br />6'°�- S,� �vnrefF <br />� c I CONTACTNAME <br />r �i <br />CONTRACTOR // S � /_ _� _ <br />� Tt.ar_�v1� <br />PHONE ?��� � _ D ��� <br />P�iOPOSED USE OF BUIL�ING <br />I PERMIT <br />_ / . TYPE <br />� T <br />PRICE OF WORK <br />� <br />AUDRESS <br />3�60.� �+,z;f,�- ��l <br />G� GtJ� <br />Building echanical <br />Combinalion Plumbing <br />Demolitfan Sign <br />Sprinkler <br />WORK DESCRIPTION <br />BK��c� r,�c�2s c�d i�eshv��,s <br />NO. � TYPE OF FIXT��RE OR ITEM <br />WATER CLOSET <br />LAVATORY (WASH B�\SIN) <br />SHOWER� <br />KITCHEN SINK.& DISPCSAL <br />DISHWASHER " <br />LAUNDRY TRAY ��� � <br />i.LOTHES WASHER � <br />URINAL <br />DRINKING FOUNTAIN ' <br />FLOOR DRAW <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/E <br />OTHER <br />C� <br />PERMIT # <br />PHONF <br />�7 � %�� t <br />ZIP CONTR. L�CENSE p <br />s, <br />a o3 �Go�ll�� oD� <br />Addition HEATSOURCE <br />WORK Aileration �leclric <br />TYPE New Gas <br />Repair/MainL Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />TYPE OF FIXTURE OR REM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATcRS <br />�LQTHCS DRYER <br />WATERI°IF.�TEH <br />METAL �IREPLAf <br />F���PLACE INS� <br />GAS FIREPLAC <br />GAS RANG� <br />GAE PIPIj�IG <br />EY.HA�b'`T FAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LqWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITIi WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANlING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATF OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL 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 CGMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />O�� <br />