2319 PINE ST 2016-01-01 MF Import

acRMIT APPLICATII,N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810— FAX 425-257-8857 SITE ADDRESS PARCEL TAX I.D.A • PERMI7 n Z31 `t t�� S'�• -v1. wr, oos-i S8so2oo`70o gn2c�{ -oiv LEOA LOT N0. BLOCK TRACT DESC. ' OWNER ADDRESS ZIP PHONE 33q-264 S��lle� Spo�Fe�rc� Z319 1-'�ne S-l. Eve�-e_.� c�h.98261 TENANTNAME I CONTACTNAME PHONE CONTRAC70R S0.r.-�e. ADDRESS 21P CONTR.LICENSE� PHONE PROPOSED USE OF BUILDING �l Building Mechanical Additbn HEAT SOURCE PERMIT D Combination R Plumbing WORK B Alleratlon n ElectAc �PE B Sp nklern D Sign TYPE g Repafr/Ms(nt. B o�a, CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS J106 WORK DESCRIPTION �2 rooT � v� q J PLUMBING MECHANICAL NO. TYPE OF FI7CTURE OR REM NO. TYPE OF Fll(TURE OR ITEM _ WATERCLOSET _ /VC—A/HANDLINGUNITS _ BATHTUB _ FORCED AIR SYSTEMS _ LAVATORY(WASH BASIN) _ HEAT PUMP _ SHOWER _ UNITHEATERS _ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER _ DISHWASHER _ RANGE HOOD _ LAUNDRY TRAY _ WATER HEATER _ CLOTHES WASHER METAL FIREPLACE/STOVE _ URINAL _ FIREPLACE INSERT _ DRINKING FOUNTAIN GAS FIREPLACE _ FLOOR DRAIN GAS RANGE _ BACKFLOW PREVENTER GAS PIPING _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN _ OTHER _ OTHER I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOflIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CON , CTOR 18.27 RC ND 296.200 WAC. ' ;�, c��,�� -� �l aoo� Signature of OwnedC racloU lhon e gent e�e !