Laserfiche WebLink
i <br />'� P�RMiT APPLICATI� <br />�', CITY OF EVERETT PERMIT SERVICES <br />SITE ADDRESS <br />LOT j6�. <br />3200 CEUAR STREET, EVERETT,1h'A 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />PERMIT # <br />oesc.J /D�// i 17.�ltGYJI%f'1.��`s /� Tv r�'�r�tt ' o <br />OWNER ADD SS � ZIP PHONE ��� . ��.03 <br />Y�N��lNCc��hNLy �aC�l� lID3-5�-/�ir'�S�ZoZ �i� �`��=���' <br />TENANTNAME CJNTACTFORPERMIT PHONE <br />� /L(icf,�c( f�/na.z 5��s--.3�i� -��i� <br />CONTRACTOR CW � iy� ADDRESS � �7 ZIP CONTR. LICENSE # <br />PHONE �I�-3 �J � �S� �Z(.(� <br />���, �il� <br />PROPOSED USE OF BUILDING <br />S�AI(�c.6 FArtii�Y <br />2.�Si9F�J� <br />B��ilding Mechanical <br />PERMIT � Combinalion R Plumbing <br />TYPE Demolition D Sign <br />Sprinkler <br />CONTRACT PRICE OP WORK �s� � <br />n Addifian HEATSOURCE <br />�� Alteration Electnc <br />�..� New Gas <br />L� ReparlMainC Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS �105 <br />WORK�ESCRIPTION •rj,�MG� � I�YI �G� �ARCJ �OV��,� <br />1—L. <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHO��ER <br />KITCHEN SINK & DISPOSAL <br />OISHWASHER <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 />NO. I TYPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEP.TERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KN01N THE SAME TO 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 GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE hU7HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE GF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS P('OPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AIJD I COMPLY WITH THE STATE <br />CONTRAC,70RS LAW '1827RCW AND .96.200 WAC. � . <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />