Laserfiche WebLink
SITE ADDRESS <br />l D2ba lnOtil � <br />LEGAL LOT NO. <br />DESC. j S 'F I� <br />OWNER <br />�Q 1_�Ff �LIlLL1.L�� <br />TENANTNAME <br />CONTRA, �(TOR <br />N DI.LE <br />PHONE —� <br />PROPOSED USE OF BUILCING <br />�i�,LC- (�,a�ntLW' <br />CONTRACT PRICE OF WORK <br />EI�MIT APPLICATruN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />BLOCK <br />PARCEL TAX I.D. # <br />S <br />CONTACT FOR PERMIT <br />ADDRESS <br />- c�z5 -o►aa i,(� �ii i -rr, <br />� <br />�LT[a 3%�V, z <br />ZIP PNONE 42� <br />i� �� q8zn� �3-� <br />PHONE <br />21P CONTR. LICENSE S <br />Building D Mechanical <br />PERMIT g Combination B Plumbing <br />TYPE D Demolition Sign <br />L� Sprinkler <br />WORK DESCRIPTION <br />-1 ecr.t i ��I.1� 4,AJ10E ��.� <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />L 4VATORY (WASH BASIN) <br />SHOWER <br />KITC,rIEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DR,41N <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />NO. <br />�Addition <br />Alteratlon <br />New <br />Repair/Maint. <br />HEATSOURCE <br />�Electric <br />Gas <br />OMer <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />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 />GASRANGE <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 VVILL 0E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERI.IIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULAT. NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO�ACTORS LAW 18.27 RC�M1' AND 296.200 WAC. <br />e <br />I/ <br />2 <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />