Laserfiche WebLink
PgAMIT APPLICAT161 <br />OL CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. A PERMIT 0 <br />+a4 HlFrffL ANp A+/E CIS 63 �G 02 0000o S02.0 <br />LEGA LOTNO., BLOCK TRACT 1 I <br />DESC. LoT'Lo<"Vr~..Z'0 010 D-z VAIIth <br />-rdtly D FAl-w SitAlINE41 1401 HWWANO A18 99141 414' KI ozl6 <br />TENANT NAME I CONTACT NAME PHONE <br />CONTRACTOR ADDRESS aP CONTR. LICENSE a <br />HOME GwNto' <br />PHONE <br />PROPOSED USE OF BUILDING Building Mechanical ♦anion NEAT SOURCE <br />PERMIT Combination Plumbing WORK 5 Alteration li Electric <br />TYPE Detralitton Sign TYPE Now If"'tS Go <br />Sprinkler FoiuirlMaint. v 04hw <br />CONTRACT PRICE OF WORK ZW E CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />WORKDESCRIPTION REWIoVE EXISTIN6r 4'X.9LOVER.ED PooZg4. <br />4P6A4-ff WITH G''CLUB (AJ@RtD Poac(4 <br />PLUMBING <br />NO. TYPE OF FIXTURE OR REM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />OWER <br />KIT EN SINK 3 DISPOSAL <br />DISHW%fitiER <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 />_ <br />A/C—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />vTER HEATER <br />M FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FI LACE <br />GAS RIANO <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES 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 OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY/TO PERFORM WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACIOBSJs11K18.27 WAND 290. AC. <br />__ 41i61aL <br />