Laserfiche WebLink
� <br />�� <br />SITE ADDRESS <br />qo►q <br />LEGA LOT NO. <br />DESC. <br />TENANTNAME <br />P�RMIT APPLICATIC�J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8P10 - FAX 425-257-8857 <br />A��BLOCK <br />PARCEL TAX I.D. k <br />�0039 a3 000 <br />TRACT <br />RF.uERLY C-�1 <br />oio <br />(3�toTi-�E�.s Ccws i ���T7ani 392? g7+i�� ,v� `�Z�S <br />CONTACTNAME <br />PHONE <br />�e� rlaac�C I Joe1 I-4aac,�C �1Z5-z�-z.�29 <br />CONTRACTOR AODRESS 21P CONTR.UCENSEN <br />H�ctc t�s, �ns+ru�-t� �v� 392Z S7rL' h�E NE E'v�2cTf 9fj2vS �CKQi01'J-DZ <br />PHONE <br />l-{ZS- 290-.�HZ�/ <br />PROPOSED USE OF BUILDING <br />Building Mechanical <br />PERMIT � Combinalion R Plumbing <br />7YPE Damolition p Sign <br />Sprinkler <br />RAddition I HEATSOL'RCE <br />Alleralion n Electric <br />BNew F� Gas <br />Repair/Mainl. Ll Other <br />CONTHACT PRICE OF WORK CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />vC1��o �XS�S+IYIy S � P� <br />N0. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />UISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FL009 DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER _ <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — A/HANDLING UN�TS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UiVIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBV CERITIFY THAT i HAVE READ ANO E�(AM�NED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE HND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDIN�CES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE Gf;ANTING OF A PERM1IIT DOES NOT PPESUME TO G!VE AUTHORITY TO VIOLATE OR CANC[L THE PROVISIO� OF ANY OTHER <br />STATE OR LOCAI LAW REGUL4TING CONSTRUCTION OR THE PERFORh!ANCE OF CONSTRUCTION. THAT I AM AUTHOR12ED BV THE <br />OWNER OF THiS PROPERN TO PERFOFM THE WORK FOR WHICH APPIICATION IS MA�E AND I COMPLY WITH THE STATE <br />C TRACi[,)i,i$ LAW 1\.27 RG'.N.4NQ�296200 WAC. <br />. . � � 1. � ��� _ �/� <br />1�J�1�1\� \ Cal•�!/ � q��� <br />