Laserfiche WebLink
REM T APPLICATIUN <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. # PERMIT u <br />20702 t HetW c/ 00 ¢ 3011 Ga 3 o s 8 0 0 3�z�z flz2 <br />LEGAq LOT NO. I BLOCKTRACT <br />DESC. 7,0-3�L GZ3 ,p-OD <br />OWNER ADDRESS ZIP PHONE <br />Cf4� Pvery tf <br />TENANT NAME— CONTACT NAME PHONE <br />VOY&V& pkitiZ 1'iO We Shg0&k0, ICi e44?74r �t1 r. 257-8046 <br />CONTRACTOR — ADDRESS <br />PHONE f -Ilt F-V— <br />CONTRACT PRICE OF WORK <br />ZIP CONTR. LICENSE # <br />Building Mechanical Addition HEAT SOURCE <br />PERMIT omhination �R( Plumbing WORK Alteration lectric <br />TYPE Demolilion L) Sign TYPE _ New as <br />Sprinkler L Repair/Maim. b Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION I I— <br />ISLGfiL�t.NGODtJ %fih,vk t lwrlb/vdvGsvrGnyfs <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH 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 PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_ <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/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <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 WHET: IER 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 />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS tAW 18.27 RCW AND 296.200 WAC. <br />2- <br />