Laserfiche WebLink
SITE ADDRESS <br />LOT NO. <br />s.5���! <br />TENANTNAME <br />��ERMIT APPLICAI^�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8a i 0- FAX 425-257-8857 <br />CON1'RACTOR <br />�v.o: ��y �/�Ti��� <br />HONE <br />PROPOSED U�E OF BUILDING <br />��.fi�E-.�c � <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />O.s6E. D'07 L�'2 5�� 40i S' <br />BLOCK I TRAC1� <br />2 oa 3 f�6s/,Gr,vo �1�� . <br />I CONTACT FOR PERMIT <br />PERMIT # <br />/VI 2i�- va S <br />PHONE <br />ADDRESS ZIP CON7R. LICENSE N <br />i i� ��';�soy .�/ �'v y�Z�v <br />Building echanical <br />PERMIT � Combination Plumbing <br />TYPE Demolitian Sign <br />Sprinkler <br />itis T9.t'� �,c.c�.��- � ✓��-��-w�,r:f <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 DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />�Xi,/Liy�`daS`oA <br />Addition I HEAT SOURCE <br />PJteration fF,l(� Electric <br />New �Gas <br />Repair/Mainl. Other <br />C�TY OF EVERETT LOCAL SALES TAX CODE IS 7103 <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 />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 A?PLICATION AND KNOW THE SAME TG BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITFi WNETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE,iUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTMER <br />STATE OR LOCAL LAW REGUWTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 CW A� 296.200 WAC. <br />/l�� �� i%'/�� 3 <br />DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />