Laserfiche WebLink
P� �'RMIT APPLICATI�. N <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.8 PEG Ib,v _ �� <br /> /�i¢ �ocCE �cc �' <br /> LEGA LOTNO. BLOCK TRACT � <br /> DESC. <br /> OWNER ADDRESS ZIP PMONE <br /> ��.� �� E-Ht-�o,� /7;�F �c,���c�c A�E 96zo� ���f�s' 3n89 <br /> TENANTNAME I CONTACTNAME PHONE <br /> �— � <br /> CONTRACTOR ADORESS ZIP CONTR.LICENSE M <br /> PHONE �W� <br /> PROPOSED USE OF BUILDING BUilding � MBCheniCal � Addition HEA7 SOURCE <br /> PERMIT Combination Plumbing WORK Alterallon Q Electric <br /> TYPE Demolillon Sign TYPE New ,�g Gas <br /> ��( ��J�, Sprinkler RepalqMaint. �U Other <br /> CONTRACT PRICE OF WORK � CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WORK DESCRIPTON <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF Fl%TURE OR REM N0. 1YPE OF FlXTURE OR REhi <br /> WATER CLOSET A/C—p�!:4NDLI NG U NITS <br /> BATHTUB FO�=it;ED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HFAT PUMP <br /> SHOWER li��iT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTFiES DRYER <br /> DISHWASHER RANGE i+00D <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHEF METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERj <br /> _ DRINKINGFOUNTAIN _(_ GASFIREPLACE CF�6S1Tt�"��"16) <br /> FLOOR DRAIN _ GAS FANGE <br /> BACKFLOW PREVENTER _ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEFEBY CERITIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A�+.AUTHORIZED BY THE <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 29620D WAC. <br /> �/c �'�+,�--- �ZI —02 <br /> i atu e 0 neUContractor/Authonzed Agent ate <br />