Laserfiche WebLink
SITE ADDRESS <br />3�a 5 2� <br />LEG^L LOTNO. <br />DESC. � � % � <br />R 6 w� <br />TENANTNAME <br />P�RMIT APPLICATIGN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />F��c2 �9 ue, <br />BLOCK <br />882 <br />� <br />PARCEL TAX I.D. # <br />Da�{3X/ -882. -GU3- ad <br />TRACT <br />�k' .�.VE� cTi <br />� 3So5 ,�Q <br />CONTACT FOR PERMIT <br />PHONE <br />� <br />I/h/ke M A[-0 y �{15 - 8 7a -/ y� �� <br />CONTRACTOR ADDRESS 21P CONTR. LICENSE # <br />��ALUY C'6,JS7'�uc%ioti /y3�/ o.2uo �U�. N,C�1. �F��/ �lAl�Yc-077�A <br />PHONE <br />3Ga -GSz -s6ai <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRlPTION �O <br />PERMIT <br />TYPE <br />�ys��. w�. <br />Building n Mechanic3l <br />Combinalion � 5 Plumbing <br />Demolilion � Sic�n <br />Sprinkler <br />�Addition <br />Alteration <br />New <br />RepaidMaint. <br />HEATSOURCE <br />�ElecUic <br />Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />l3�J/ca /�'E!J CA2 �A2 A�F AT �'A�/c �9�c�Y� <br />o F /�.C�QPfiL �' <br />NO. I 'fl'PE OF FIXTURE OR ITEM <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 />NO. I TYPE OF FI%TURE OR ITEM <br />PJC—A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />h1ETAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <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 GOVERNINii THIS TYPE OF WORK 1VILL BE COMPLIED INITH WHETHER SPECIfIED HEREIN OR <br />N07. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAIN REGULATING CONSTRUCTION OR THE PERF'ORMANCE 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 THC- STnTE <br />CONTRACTORS LAW 18.27 RCW AN� 296200 WAC. <br />DEEiIT 8 CREJIT CARDS ARE NOT ACCEFTED <br />