Laserfiche WebLink
� <br />SITE AD�RESS <br />� D 'f� .L <br />r ERMIT APPLICAT.>N <br />CITY OF EVERETT PERMIT SER`JICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />LEGA� LOT NO. DLOCK <br />�GSC. <br />OWNER <br />��tif fJ-�,c �., t Cs�.�; !� <br />TENAN7 NAME �T— <br />CONTRACTOR <br />�rYtJP'� 5�/L�1cL—(�l,c.�h�3 <br />PHONE <br />TRACT <br />PARCEL TAX I.D. # <br />�y <br />� <br />a <br />� — �� <br />CONTACTNAME PHONE <br />.��o � oi6y ��s-�� � z z_ <br />ADDRESS ZIP CONTR. IICENSE q <br />3�lir 1Z�ohnJr c�'� ���z� r �zc,i _D�t���,� <br />��s�a <br />PROPOSED USE OF BUILDING I Building f7 Mechanical I Addition HEAT SOURCE <br />PER�11T Cambinalian �-�� Plumbing WORK Allera(ion Electnc <br />TYPE Damolition LJ Sign TYPE New �Gas <br />Spfiekle� P,epairRdaint. Other <br />CUNTRACT PRICE OF WORK CITY OF EVEFIETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />�JO. � TYPE OF FIXTURE OR ITE�A <br />� � <br />� <br />WATER CLOSET <br />BA'HTUB <br />LAVATORY (WASH BASIN} <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />GISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. � TYPE OF FIXTURE OR IT�EM <br />A!C – A/HANDLING UNITS <br />FOFCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTI-iES DRYER <br />RAN ,E HOOU <br />WAT':R HEATER <br />METi�L FIR[PLACE/STO'JE <br />FIRE�.'LACE INSEFT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER_ <br />I HEREBY CERIiIFY THAT I HAVF READ A�C EXA�dINED THIS APPUCATION AND KNOW THE SA�'E TO BE TRUE i+ND CORRECT. ALL <br />�'ROVISIONS OF L1WS �ND �RIDI�ACES GOVERNING THIS TYPE OF WORK WILL BE COh1PLIED WITH WHETHER SPECIFIED HEF[IN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESU�viE TO GIVE AUTHORITY TO VIOLATF OR CANCEL THE PROVISION OF APJY O�HFR <br />STATE OR LGi.AL LAW REGULA7WG CONSTRUCTION OF THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEHFURM THE WORK FOR WHICH APPUCATION IS F.tAOE AND I COM1IPLY WITH THE STATE <br />CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br />