Laserfiche WebLink
P�r2MIT APPLICATION ���i� <br />CITY OF EVERETT PERMIT SERVICES ��I�' % <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX.42c5-257-8857 �_._ %�� <br />�'I���S �/�1�//14 <br />SITF AnnRFSS. � I PARCEL TAX I.D. # I PERAjIJ # <br />LOT <br />DESC. <br />CONTRACTOR ��p,J�,p�'� <br />PHONE /v���S,� � <br />� �t- <br />PROPOSED USE OF BUILOING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPiION / � <br />/� <br />BLOCK <br />FOR <br />f � y��T�1DDRESS <br />*7 30 l <br />lUf . <br />�l Building <br />PERMIT � ) Combin ti� <br />TYPE D Demolition <br />U Sprinkler <br />��u`�U�,II.� u�� <br />D Mechanical <br />in U Plumbing <br />U Sign <br />��� b U� �� I <br />�/,1 � O/�: I U � 0.c S, �c' <br />N0. I TYPE OF FIXTURE OR �TEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />3 �� <br />�a� <br />�� <br />`+�p(`�J 1- <br />CONTR. LICENSE It <br />l�io,vuCL57`(�k <br />�Additlon <br />PJteratlon <br />New <br />Rf�paidMainl. <br />HEATSOURCE <br />ElecUic <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK 6VILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL EGULATING CONSTR .OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THI �E RFOR E WORKFOR WHICH APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br />CONTRACT W 3E,ri CW AND 200 WASi" , / <br />1J L <br />DEBIT 8 CREDIT CARD9�ARE NOT ACCEPTED <br />