Laserfiche WebLink
f <br /> PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> r, 5 � 5 � '�Q.f �� ��J��— <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> k�,f� 7�a�,, /a�,s� �SJs iy.0 /� d. yYzU3 `ltf 26� - o�s5 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Sc...� I f�.� � I <br /> CON fRACTOR qDDRESS ZIP CONTR.LICENSE# <br /> PHONE""I <br /> PRO�E-fD USE OF BUILDING I � Buildi�g � M9chanical I Addilion HEAT SOURCE <br /> p� PERMIT Combination Plumbing WORK B Alteration I �Electnc <br /> Kf� � f TYPE Demolition Si n 7YPE Ck New Gas <br /> Sprinkler ��tcepair/Maint. Other <br /> CONTRACT PRICE OF WORK 7o�v CIN OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> WORK DESCRIPTION <br /> �-s�.erd�c/� <br /> Add ��r< ls/u�. <br /> 1� • � , S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C-WHANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HE.AT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINK&DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) � EXHAUST FAN <br /> _ OTHER OTHER <br /> I — — <br /> i I HEREBY CERITIFY THAT I HAVE READ AND EUIMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> � PROVISIONS OF IAWS AND ORIDINACES GGVERNING THIS TYPE OF WORK 11'ILL BE COAIPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME i O GNE AUTHORITY TO VIOWTE OR CANCEL THE PROVISION OF ANY OTHER I <br /> � STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION. THAT I AA1 AUTHORIZED BY THE 'I <br /> OWNER OF THIS PROPERTI'TO PERFORA7 THE N'ORK FCR�VHICH APPLICATION IS MADE AND I CO:.IPLY WITH THE STATE <br /> i CONTRACTORS LAW 18.27 RCW AND 296200 WAC. I <br /> , ,� ���" �— b " a//r 3 I <br /> qgnaW of tractodAuthonzed Agent Dale <br /> DEBIT& CREDIT CARDS ARE NOT ACCEPTED � <br />