Laserfiche WebLink
�� <br />P'�.��MIT APPLICATIG���J <br />CITY OF EVERETT P�RMIT SERVI�GES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 G — FAX 425-257-8857 <br />SlTE ADDRESS <br />�6z S�F E'uc-^�t�r mAli <br />LOT N0. � BLOCK I TRACT <br />DESC. <br />TENANTNAME <br />PARCEL TAX I.D. X <br />ICONTACTNAME <br />conrRacroa��� ��r6� Sn���� pESS `z2 /-1 AN <br />PHONE � j /Cdn� �/%IJv� <br />3�a-q/G-bCs3 <br />PROPOSED USE OF B111L�ING <br />r�f�r'1x-r � � v�y <br />S�� <br />CONTRACT PRICE OF WOqK <br />Building <br />PERMIT Combinalion <br />TYPE Demolition <br />Sprinkler <br />WORK DESCRIPTION �: /sr,{A���U y�� <br />✓(/�7[="` C (O.`�' f3 //�/`!i/�/9 <br />N0. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (W,4SH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENI'ER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />v' OS l,L c� <br />Mechanical <br />Plumbing <br />Sign <br />PHONE <br />�� �J ZIP CONTq, LICENSE M <br />i��ivur t..n Ci7�y/°/� / 98M 3 <br />9�'z�3 <br />Add;lion HEAT SOURCE <br />WORK Allerntlon Electric <br />TYPE New Gas <br />RepaldMainL Other <br />CITY OF EVER�'TT LOCAL SALES TAX COOE IS 3705 <br />U� �/� `�'S� c r /%�d!'us S.'..�' S Fo• <br />P�P�N� <br />MECHANICAL <br />N0. � TYPE OF FIXTURE OR 17EM <br />_ A/C—A/HANDLING UNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />RANGE HOOD <br />Z WATER HEATER <br />_ METAL FIREPLACE/STOVE <br />_ FIREPIACE INSERT <br />_ GAS FIREPLACE <br />_ GAS RANGE <br />_ GAS PIPING <br />_ EXHAUSTFAN <br />_ OTHER <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 L4WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEi. THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A�A AUTHORIZED BY THE <br />OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH 7HE STATE <br />CONTRACTORS LAW 78.27 RCW�ND 296200 WAC. <br />