Laserfiche WebLink
A <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS �`"fT N FL � � I PARCEL TAX I.D. # I P�RMIT �/ <br />�jolo SE C�E(�ET7 Wlh���^IY o�`�eSl�oo30$�0o i�����iO3'�� <br />LEGAL LOTNO. BLOCK TRACT <br />'FL,�E�ER— C� <br />TENANTNAME <br />�r�� TE�NN l <br />„"." �aTR��. <br />c ��'« A�R � <br />...�2�c.1 b��- �"393 <br />PROPOSED USE OF BUILDING I <br />CONTRACT PRICE OF WORK `� <br />WORK OESCRIPTION <br />,�nv c�l <br />���c RTE <br />ADDRE55 LJS <br />le�s- _ <br />I CONTACT FOR PERMIT <br />%���C� 2l�!-�� <br />ADDRESS C Q-t�K <br />+ � � �� � o'f Q oTH E�� <br />PK'f � <br />Building Mechaniral <br />PERMIT � Combination PIUR7bi�g <br />TYPE Demolition Sign <br />Sprinkler <br />PHONE <br />�Z O1,7 � �1 U�a <br />ZIp CONTR.LICENSE• <br />��o�� <br />Addition <br />WORK Alleration <br />TYPE New <br />RepairlMaint. <br />HEATSOURCE <br />�Eleciric <br />Gas <br />Olher <br />CIN OF EVERETT LOCAL SALES TA% CODE IS 71U6 <br />tool,t�14 oNL`(. V`�v ��x ��3� �ti'"j D�Ffvie�k5 � <br />(zi Gti�I��e4_ <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAI <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARIMOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC —AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />t VAc:. EMo EL <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 LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH NhIETHER SPECIFIED 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 />OWNER OF TOHIS PROPERTY OTPER ORM THECWORK FORHWHICH APPLIC T ONFIS MADERAND I COMPLYTWI H THE SOTATE D BY Ti1E <br />CONTRl�CTORS LAW 18.27 RCW AND 2�J6200 WAC. <br />�lt� (� . Q 4� 'i 17 �� lo �-1- <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />