1626 RAINIER AVE 2018-01-02 MF Import

P6MIT APPLICAT6N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 — FAX 425-257-8857 SITE ADDRESS PARCEL TAX I.D. 11 PERMIT Y I lc, Rats)Q+, Rue q3 16e3 3 v C oa[c)-L) LEGA LOT NO. BLOCK TRACT DEsc. al p 3 `l OWNER ADDRESS ZIP PHONE S*PA)e4U (3e�low.. 1 67& ( Iawtpt-title 9T";Loi 1 TENANT NAME I CONTACT NAME PHONE �5 44V% 42— S (k-me CONTRACTOR ADDRESS ZIP CONTR. LICENSE N PHONE PROPOSED USE OF BUILDING Building I-i Mechanical Addition HEAT SOURCE PERMIT Combination II-L--1(( Plumbing WORK Alteration Electric TYPE u Demolition Sign TYPE New Gas Qroom u Sprinkler Repair/MainI. Other CONTRACT PRICE OF WORK CITY OF EVERLTT LOCAL SALES TAX CODE IS 3105 WORK DESCRIPTION pp PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR REM NO. TYPE OF FIXTURE OR ITEM _ WATER CLOSET A/C — A/HANDLING UNITS _ BATHTUB FORCED AIR SYSTEMS _ LAVATORY (WASH BASIN) HEAT PUMP _ SHOWER UNIT HEATERS _ KITCHEN SINK & 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 (SERVICEBAR/MOP!ETC.) _ EXHAUST FAN OTHER __ OTHER_ I HEREBY CERTIFY THAT' HAVE READ AN' EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORIDINACES GJVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 CA LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS ?ROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. tl,iz� Signature of Owner/Contractor/Aulhonzed Agent Date I�L