Laserfiche WebLink
� P�RMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# P MIT# <br /> C` ,C�,��- ��� � � �� o D � 3o�-ooa <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. ' [� oI- I J � 4 ,I � � Q E' .� <br /> OWNER ,� i1�Y� � L ADDRESS IP HO�E <br /> JJ <br /> �c��;d � �ti�P �� /s S 3 �c� ��cl l� � - � �cl 9 I <br /> T E N A N T N A M E I CONTACT FOR PERMIT PH NE <br /> �aS ��' UC���� <br /> CONTRACTOR ADORESS 21P CONTR.LICENSE# <br /> P'IONE � <br /> _��/ <br /> PF'�POSED USE OF BUILDING fl Building Mechanical Addition HEAT SOURCE <br /> PERMIT �� Combination � plumbing WORK Alteration Electric <br /> /� TYPE pQ Demolition Sign IYPE New R�—( Gas <br /> �/����' U Sprinklef Repair/Mainl. V Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> ���� <br /> PLUMBING MECHPNICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO.. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TR.4Y WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FI.00R DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER _ pTHER <br /> I HEREBY CERITIFY THAY I NAVE READ AN�EXAMINED THIS APPLICATION AND KNOW THE SAME TU BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRA�i�ilNG OF A PERMIT�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO��ISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUi:TION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br /> OWNc OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT ACTORS LAW 18.27 R W AND 296.200 WAC. <br /> i — <br /> � ��, , '/ ) <br /> Sig tUre o "O nedContracto/Authonzed Agent ate <br /> DGBIT& CREDIT CARDS ARE NOT ACCEPTED <br />