Laserfiche WebLink
SUL-17-2006 15:31 FROM:PERMIT <br />4257756315 T0:14252578857 P.1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />p Zif'� <br />BLOCK <br />i��PP�t �%�'C.o%� <br />a 2zr� <br />TENANT NAME CONTACT FOR PERMIi <br />�J�iw�-� � ,(,r��d� yzr <br />� <br />CONTR CTOR ADDRESS <br />(,U �J'�-f ���� C�1 A � <br />PNONE /� �� �jpyy��k� /y7/� ��b <br />'l�i%l0 � L 'Y %�i �/cL _L �l.tl'� la �; <br />PROPOSED USE OF BUILOING <br />V �� <br />Building � Mechanlcal <br />PERMIT e Combination Plumbing <br />TYPE U Oemolition Sign <br />U Sprinkler <br />CONTRACTPRICEOFWCRK ��� � <br />WORK �ESCRIPTION <br />PHONE <br />���- 8�w�� <br />ZIP CONTR. LICENSE # <br />GcJ"/�J'fz'/t—J97/ c�g <br />�Addlllon <br />AlleraUon <br />New <br />FtopalrlMainl. <br />HEATSOURCE <br />Q Electrlc <br />�� Gas <br />�, Other <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 7105 <br />9a.� c��.-� h:��-��— �'�pl�� <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (fOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSA� <br />DI51-IWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DR!NKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENT[R <br />SINK (SERVICE/BAR/MOP/ETC.) <br />NO._ I TYPE OF FIXTURE OR I7EM <br />� <br />� <br />AIC—AIHANDLING UNITS <br />FORCE� AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />R,4NGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERITIFY THAT I HAVE RGD AND EY,AMINED THIS APPIICATION AND KNOW THE SAME TO dE TRUE AND GURREGT. AlL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNINC, THIS TYPE OF WORK WILL BE COMPLIED WiTH WHETFi�R ��ECI�IED HEREIN OR <br />N07. THE GRANTING OF A PERMIT OOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOLATE 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 PERFORh7 THE WORK FOR WHICH APPLICATION IS MADE AND I COIdPLY WITH 7HE STATE <br />CONTR�CTORS lA�l'�.27 RCW AND 7.96.20�. ^-� % ` <br />r—�.�. _i L �t� _ . � ! �l—i �.n/�_ <br />DEBIT 8 CREDIT CAt2DS ARE NOT ACCEPTED <br />