Laserfiche WebLink
( ( <br /> PEI�MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> ,$ITE�R SS �S �� � �� EL TA7(I.D.N �E�MI�/ - e r� <br /> �� L�� <br /> LEGA LOTNO. BLOCK TRAC7 <br /> �ESC. <br /> OWNER ADDRE54 aP PHONE <br /> �h�'ll,•� � �:��t-�ir So����'c�r. l�� �ec (!S Dr �12�03 3S 3 -4 � 2�'� <br /> TFNANTNAME CONTACTNAME PHONE <br /> ��w re� �h�`I I�a <br /> CONTRACTOR AUORESS ZIP CONTR.LICENSE M <br /> PFIONE /�` <br /> U e� <br /> PROPOSED USE OF BUILDING fl Building f1 Mechanical I Addition MEA�URCE <br /> PERMIT �_� Combination F_� Plumbing WORK Alteration Electric <br /> ��S�C�'''Iq I TYpE �,_l Demolilion LJ Sign 7YPE New Ges <br /> LJ Sprinkler RepairRyteint. Oiher <br /> � <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORKDESCRIPTION S�NGIC �S�UJ"u I�,J� � t� ,' G�� � tIO�'1 �O <br /> \! . \ <br /> I� � \l <br /> e.XtO tr� �pinSe , <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM NO. TVPE OF flXTURE OR(TEM <br /> � WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> 1 LAVATORY(WASH BASIN) � HEAT PUMP <br /> � SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPIACE <br /> FLOOF ORAIN GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) Z EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CEiiITIFV'HAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br /> PROVISIONS OF W WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPI!EG WITH WHEfHER SPECIfIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOWTE OR CANCEL iNE 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 PFOPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS WW 18.27 RCW AN 296200 WAC. <br /> �'��'�....y'/� /- /'C-G 7 <br /> �gna�u�0�+ '�r�ontractoUAuthonzed Agent Date <br /> , <br /> �� <br />