Laserfiche WebLink
SITE ADDRESS <br />i<��I-G � Lo <br />LEGA LOTNO. <br />DESC. <br />7�av�d � S(�� i <br />� <br />P�RMlT API'LICATiO�nl ! <br />CI�'Y OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR �TREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 � <br />� �� 1/� <br />BLCCK TRACT <br />f�'1�+61�b1.'S <br />PARCCL TAX I.D. # <br />PERMIT � <br />C�� <br />(�U�l�� t�v�n�3a,�^c�.�- 11�t1-F�tc tt 1 �'Z�3 <br />TENANTNAME � CONTACTFORPERMIT <br />- S (� ('-c� ��'l�l �-1-V�.�,vS <br />CONTRACTOR ADDRESS \ <br />PHONE <br />PROPOSED USE OF BUILDING <br />�i���jl-e -f� t�' I� Ft'S <br />CONTRACT PRICE OF WORK <br />Building [� Merhanical <br />PERMR Combination [) FLn�bing <br />TYPE Demolilion U Siyn <br />Sprinkler <br />TrPe <br />PHONE <br />�( 2s � 3 i- 8O sLl- . <br />ZIP CONTR. LICENSE # <br />Addilion HEAT SOURCE <br />AltaraGon EI_ctric <br />New � Gas <br />Repair/MainL Other <br />CITY OF EVERETT LOC4L �ALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />� �� i' �� i-) I c�� n-3- -�Zt,wL f�`�1 r fTo�`h Cc � �i Z c Ct i� �ct 1�� L <br />J . <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER cLO5ET (TGILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />OISH�NASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAW <br />BACKFLOW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOV� <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. .�LL <br />PROVISIONS OF lAWS AND ORIDINACES GOVERNING THIS TYPE OF WORY, WILL BE COMPLIGD WITH WHETHER SPECIFIED HEREIN OR <br />NOT. 'i HE GRANTING OP A PERMIT DOES NOT PRESI.:.IE TO GIVE AUTHORITY TO VIOLAT_ OR CANCEL THE PROVISION OF ANY OTHER <br />STAI-S OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF ,-HIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON�j27 CTORS LAW 18.27 RCW AND 296.200 WAC. <br />-� � �� �n,�,,,. ��� ��te�1�.ti��s rz Iz� I o3. <br />� ��..,. . .y... ,. _ _. _ � <br />DEBIT & CREDIT CARDS ARE tJOT ACCEPTED � 2 <br />