Laserfiche WebLink
P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETr, WA 98201, 425-257-8810 <br />SITE ADDRESS <br />DESC. <br />OWNER <br />m� � <br />TENANT NAME <br />CONT ACTOR <br />�Ue2� �u� Ic�2�s <br />PHONE ,�_ �3 - 7��� r <br />PROPOSED USE OF BUILDING <br />sr- � <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />PARCEL TAX I.D. M <br />o �� � <br />TRACT <br />ADDRESS <br />�cz3q �N Au <br />CONTACT NAME <br />�N rnANN <br />ADDRESS <br />Building D Mechanical <br />PERMIT � Cembination �j Plumbing <br />TVPE Demalition U Sign <br />Sprinkter <br />l)� �,� <br />�G � I �o x � �1- � <br />NO. I TVPE OF FI%TURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />NDRY TRAY <br />CLO S WASHER <br />URINAL <br />DRINKING FO IN <br />FLOOR DRAI <br />SINK <br />� PERMIT k <br />� Q�ar�3-�t8� <br />PHONE��^ <br />� - � <br />(PHONE <br />i/� �_ <br />I 3�3-%'llo I <br />A�GI/N�� CONTR. LICENSE k <br />� N � U -3a� PN <br />Addition HEAT SOURCE <br />WORK Alteration Electric <br />TYPE New � Gas <br />Repair/Maint. Other <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. � TYPE OF FIXTURE OR ITEM <br />_ NC—A/HANDLINGUNITS <br />FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_ HEATERS <br />_ CLO S DRYER <br />_ RANGE OD <br />_ WATER H ER <br />METAL FIREP STOV <br />FIREPLACE I E <br />GAS FIRE CE <br />GAS R GE <br />_ GA IPING <br />_ AUST FAN <br />THER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS 1YPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GFAN G OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STAT OC L LA1�Y REGULATING CONSTRUCTION ON THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OV✓NER OF PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�ONTRACTCR LAW 1827 RCW AIJD 296200 WAC. <br />, - n Y \�.�il/� o� v(� -Uo� <br />�;ra.ure cf O+rned ontr cto 'Authonzed Agent Date �'7! <br />\ �3 . � / <br />