Laserfiche WebLink
>ITE ADDR[SS <br />��LEGA LOT NO. <br />TENANT <br />CaNTRACTOR <br />�u �� ( rl% : f f <br />PHON� <br />IN:-S )�7'i-G^S', <br />PROPOSEO USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />PERMIT APPLICATION <br />CITY OF EVFRETT PERMIT SERVICES <br />320D CEDAr2 STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />�. <br />:K TRACT <br />ADDRESS <br />�c5�� � f' /fi., i� v� <br />ICONTACTNAME <br />ADDRESS <br />������ ��1C-AVe �.✓ <br />Building Mechanical <br />PERM�i R Combina6on �Plumbing <br />NPE D Demolition Sign <br />U Sprinklcr <br />WORK UESCRIPTION L <br />�NCfII� /rP(n.' .�w/L(HGl <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 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 />PERMR # <br />mb� �—o�c <br />PHONE <br />ZIP CONTR.LICENSEA <br />yHc�3 � <br />OA y,vi ��up <br />Addition I HEATSOURCE <br />Atteralion Eleclnc <br />New �Gas <br />RepaiqMainl. Other <br />CITY OF EVEREff LOCAL SALES TA7( CODE IS J105 <br />� C=rt: S �' / �.•y •/n �r/.'//3%?O, <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <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 />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE 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 OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZFD BY THE <br />OWNF_R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW tg 27 D 2 200 AC. <br />_ .�: % ���� w/i v/� v <br />