Laserfiche WebLink
SITE ADDRESS <br />J U� � <br />LE6A LOT NO. <br />P��MIT �lPPLICATION <br />CITY OF EVERETT P.�RMIT S�RV��E� <br />3200 CEDAR STP,EET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />.�ttcra / ffvz <br />BLOCK TRACT <br />AODRE <br />c � ��ck S�/ ��1�, <br />PARC�L TAX I.D. # <br />% /�(/P L.'"t/Piv�G� <br />zo� vzs �s�-i�i: <br />TENANTNAME I CONTACTFORPERMIT fHONE <br />.��i�'C'�i /s7�H �/ `/zS— Z3flt / 7ZG <br />CONTRACTOR AD�RESS ZIP CONTR. LICENSE # <br />�J����� �/r,- S�. �Ns � Sr..0 � Iti � _3� C'/ Fr.�.--r�f"�r.� <br />PHONE FY�/9/1�SS C�.�,+_KZ <br />�f 2 S - Z S `� - Z /C / �v�.-��% yp'La / <br />PROPOSED USE OF BUILOING I Buil(ling �Sij Mechanical Addition HEAT SOURCE <br />PERMIT R Combinetion �-S Plumbing IWORK �Alteralion � Electric <br />I 7YPE D DemUlil;on U Sign 7YPE New Gas <br />U Sprinkler Repair/Maint. Other <br />CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 9705 <br />WORK DESCRIPTION /' , • <br />CTu 5 rJ �� �, � 2�e :-v �e.? r,--.�7`�-i <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DiSPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPlETC.) <br />OTHER <br />NO. . I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNI75 <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREFLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />= GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRtCT. ALL <br />PROVISIONS OF LAWS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE nR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHGRIZED BY THF <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITN THE S i Ai E <br />CONT,RpCTORS LAW 18.27 RCW ANIl296200 WAC. ,. <br />/ � /.� -/> j <br />DEEiT & CREDIT CARDS ARE NOT ACCEPTED <br />