Laserfiche WebLink
� <br />� <br />SITE ADDRESS <br />LOT NO. <br />1�, <br />C'ERMIT APPLICA�.ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK � TRACT <br />PARCEL TAX I.D. • <br />PERMIT N <br />rrx� <br />'I�S—,7J�^ �'� <br />TENANTNAME I CONTACTNAHE <br />PMONE <br />CONTRAC70f� �� �'�� ADDRESS L/��� S�a�,� Zlp, CONTR. LICENSE N <br />PHONE I a ��'U <br />�(a-S- 3�'� �l 07 � �'L �^l-' n+"'a2y�k <br />PROPOSED USE OF BUILDING <br />��• ' <br />CONTRACT PRICE OF WORK <br />WORK OESCRIPTION <br />I NO. I TYPE OF FIXTURE OR REM <br />� WATEii 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 DRA�N <br />_ BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ OTHER <br />Building Mechanical n Adtlition HEAT SOUHCE <br />PERMIT R Combinaliort�Wumbing WOqK�lteraUon D Electric <br />TYPE � Demolit(an p Sign TYPE " D New D Ges <br />Sprinkler U RepaidMaint. '��Other <br />"�� CITY OF EVERETT LOCAL SAIES TAX COOE IS 3105 <br />NO. � TVPE OF flXTUqE OR fTEM <br />_ �vc: -A/NANDLING UNITS <br />_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <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 />_ OTHER <br />1 HEREBY CERITIFY'HAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TFUE AND COfiRECT. AlL <br />PROVISIONS OF L>WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHFR SPECIFIED HEREIN OR <br />NOT. THE G NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANY OTHER <br />STATE O OCdL W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THA71 AM AUTHORIZED BY THE <br />OWNE F THIS RSWEI�TY TO PEFFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CON A�TO L.ZW 1B/7 RCW ANjY296200 WAC. <br />