1826 RAINIER AVE 2018-01-02 MF Import

(-3ERMIT APPLICA"T":ON rr CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 SITE ADDRESS PARCEL TAX I.D.1f PERMIT M i�z� LEGA LOT NO. BLOCK TRACT - t:/Y4 19�Zoi TENANT NAME I CONTACT NAME PHONE CONTRACTOR ADDRESS ZIP CONTR. DCENSE N PHONE p 1Z-57-1�(4 PROPOSED USE OF BUILDING Building Mechanical R Addition HEAT SOURCE PERMIT TYPE Combination plumbing B Demolition Sign WORK R Alteration TYPE New RR Electric Gas Sprinkler B Repair/Maim. V U Other CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 wno¢ ncef-01— u PLUMBING NO. TYPE OF FIXTURE OR ITEM MECHANICAL NO. TYPE OF FIXTURE OR ITEM WATER CLOSET BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK 8 DISPOSAL DISHWASHER LAUNDRY TRAY CLOTHES WASHER URINAL DRINKING FOUNTAIN FLOOR DRAIN SINK FLOW PEIBAR/ ER SINK (SERVICE/BAR MOP/ETC.) OTHER _ _ _ _ _ _ _ _ _ A/C — A/HANDLING UNITS FORCED AIR SYSTEMS HEAT PUMP UNIT HEATERS CLOTHES DRYER RANGE HOOD WATER HEATER METAL FIREPLACE/STOVE FIREPLACE INSERT GAS FIREPLACE GAS RANGE GAS PIPING EXHAUST FAN 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 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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. Signature of Owner/Contractdr/Authorized Agent Date