Laserfiche WebLink
SITE ADDRESS <br />t5 N <br />LEGA LOT NO. �p <br />DESC. 7, j. � � <br />PE�.iMll' APPLICATIC.1 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREEr, EVERETT', WP, 98201 <br />425-257-8810 - FAX 425-257-8857 <br />� <br />SFl-�na.x� C�� fdro� <br />TENANTNAME <br />CONTRACTOR � <br />S,c-r� �Sf�+`+�- <br />PHONE <br />34c 757-G�/3v <br />PROPOSED USE OF BUILDING <br />'j F� <br />CONTRACT PRICE OF WORK y/� OO U <br />PARCEL TAX I.D. # <br />�- � a- <br />iRACT <br />�:fD�Fv� � <br />ADORESS <br />3 3 �5 l�bti � <br />CONTACTNAME <br />PERMIT x <br />O177—DD �o���C� <br />� va 3 <br />�� IPG/ PHONE <br />uJ.�t�� ��'.?o/ ��s''So3457�i <br />PHONE <br />�Z9�5 `'•//� �'�' ZIP CONTR.LICENSEM <br />�gk�l,.y{..� 98� 33 5�CQ,� l�l I P�l- <br />Building Mechanical <br />P[RMIT g Combinalion � Plumhing <br />TYPE D Dem�lilion Sign <br />U Sprinkler <br />WORK DESCRIPTION <br />�IJ� lJ /2�'� ��/ZE Rcr� r ) <br />P�uMeir <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATEF CLOSET <br />BATHTUB <br />LAVATOFY(WASH BASIN) <br />SHOWER <br />KITCHEIJ SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRIIJKING FOU�TAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN�TEA <br />SINK (SERVICE/B.AR/MOP/ETC.) <br />OTHER <br />�Addi�icn <br />Alleration <br />New <br />Fepainldaint. <br />HEATSOURCE <br />�Electnc <br />Gas <br />Other <br />CITY OF EVERETT LOC.1L SALES TA% CODE iS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />� A/C - A/HANDLING UNITS <br />FORCED AIR SYST[M� <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYEfi <br />RANGEH�OD <br />WATER HEATER <br />NcTAL FIREPLACt/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS FANGE <br />GAS PIPING <br />EXHAUSTFAN <br />� HEREBY CFRITIFY'HAT I HAVE READ AND EXAMINED THIS APPIICAT10N AND KNOW THE SAM1fE TO BE TRUE AND CORFECT. A�L <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COM1IPLIED WITH WHFfHER SPECIFIED HEREIN OR <br />NOT. THE GPANTING CF A{�ERt.11T COES NOT PRESU�fE TO GIVE AUTNORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHE� <br />STATE OR LOC.�L LAW NEGIILATING CONSTRUCTION OR THE PEflFORM1tANCE OF CONSTRUCTION. THAT I AM AU � HOR12ED BY THE <br />OLVNER OF THIS PROPERN TO PERFOAht THE WORK FOR WHICH APPLICATION IS M11AOE AP1D I COAIPLV W;TH THE ST:.TE <br />CnNTFACTORS W W 18.2? RCW AND 296.200 WAC. <br />