7430 UPPER RIDGE RD 2016-01-01 MF Import

( r PtRMIT APPLICATIVN CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810— FAX 425-257-8857 SITE ADDRESS PARCEL TAX I.D.# PERMIT# 30 � �,�� 0 3D�-fl�8" LEGAL LOTN . BLOCK TRACT DESC. OWNER ADDRESS 21P PHONE /-�lYl-tIZ Co•�i• I'fi032 f`` Avc 5 � �,�f-ke[/ 9f'�otz �IZS' �'Y3 �l�If3 TENANT NAME I CONTACT FOR PERMIT PHONE CONTRACTOR ADDRESS ZIP CJNTR.LICENSE N PHONE PROPOSED USE OF BUILDING I BUildlflg D Mechanical Addition HEAT SOURCE ��/ PERMIT R Combination U Plurtlbl0g IWORK R Altetation � Eleclnc TYPE D Demolilion U Sign 7YPE D New Gas U Sprinkler U Repair/Maint. Olher CONTRACT PRICE OF WORK CIN OF EVERETT LOCAL SALES TAX COOE IS 3105 WORK DESCRIPTION � /Y' � PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM _ WATER CLOSET(TOILET) A/C—A/HANDLING UNITS BATHTUB �ORCED AIR SYSTEIv1S _ LAVATORY(WASH BASIN) HEAT PUMP _ SHOWER UNITHEATERS _ KITCHEN SINK& DISPOSAL CLOTHES DRYER _ DISHWASHER RANGE HOOD _ LAUNDRY TRAY WATER HEATER _ CLOTHES WASHER METAL FIREPLACE/STOVE _ URINAL FIREPLACE INSERT DRINKING FOUNTAIN GAS FIREPLACE _ FLOOR DRAIN GAS RANGE _ BACKFLOW PREVENTER GAS PIPING _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN _ OTHER OTHER I — — — I — I � I HrREBY CERITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL � PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF�VORK WILL BE COMPUED WITH WHETHER SPEqFiED HEREIN OR ' ^IOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER i STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORM1IANCE OF CONSTRUC710N. THAT I P,M AUTHORIZED BY THE � OWNER OF THIS PROPERTY TO PERFOR67 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTUR$'LA4v 1827�AND 296.200 WAC. � L/ � Signature cf Owner/Contrac Y/Authorized Agent Date DEBIT & CREDIT CARDS ARE NOT ACCEPTED