Laserfiche WebLink
FEB-15-cOf36 1�:37 FRpM:PEP.I9IT 4257i56315 T0:14252578857 P.1 <br />i — <br />SITE ADDRESS <br />�oT No. <br />�1�1� <br />TENANT NAME <br />;, <br />PERMlT APPLICATIOI� <br />CITY OF EVERETT PERMIT SEFiV�CES <br />3200 CEDAR STREET, EVERETT, WA 9t3"tpt <br />425-257-8810 - fAX 425-257-8B57 <br />�r !n i�. �tlQ <br />BLOCK TRACT <br />Q�1' IL� �cicl <br />�au> 2is� �,�j� ��� <br />PHO��O �L �/� z,�, � <br />PROPOSED USE OF BUILDING I <br />GONTRACT PRICE OF WORK <br />PERMI7 <br />TVPE <br />PARGEL TAX �.D. ii <br />o�y3�U3� <br />183z V1�1«r4 <br />CONT— AC— TFORP <br />I M�1 �� <br />AODRESS <br />r <br />� (;' i �� <br />�--i �:; �,o �� <br />PERMIT 9 <br />Mo�oa-C�Lq <br />PHONE <br />zr 3�� s�s�r � I <br />PNQNE <br />yzr 2.75- 8 �-l5� <br />�Building � Mechanical <br />Combinalion Plumbing <br />Demolilion Sign <br />Sprinkler <br />WORK DESCRI�71� ^ ��/� f � � k� � <br />�� <br />f�Cl�I w 9'4.� ��/� <br />N0. I TYPE OF FIXTURE OR ITEM <br />I _ wAIERGLOSET(fOILET) <br />_ BATHTUB <br />_ LAVATORY (VJASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRI'TRAY <br />_ CLOTHES VVASHER <br />URINAL <br />DRINKING FOUNTAIN <br />_ FLOOR ORAIN <br />BACKFLOW PREVENTER <br />_ SINK (SERVICE�BAR/MOP/ETC.) <br />OTHER <br />ZIP CONTR. LICENSE p <br />C�Cf%�cifj�/�,I%7/ Q/j <br />� �AdEiUon HEATSOURCE <br />WORK Alteration I I7 ElocMc <br />TYPE New aF'Gns <br />ReP�'r/Mainl LJ Other <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br />fi/14C�`. � l,U-"�7�-r� �_� <br />/�ix'. <br />NO. � TYPE OF FIXTURE OR ITEM <br />WC - A�HANOLING UNITS <br />fORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGEHCOD <br />WAiER HE4TER <br />ME7Al fIREP11aCE/STOVE <br />FIREFLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />/lo�obo,(7{�1 <br />1 HEREBY CFRITIFY TNAT I HAVE FEAO AND EXAMINED THIS APPLICATION AND K•101N THE SA.'.'E TO �c TRVE AND CORRECT. ALL <br />FROVISIONS OF LAVJS AND ORIDINACES GOVERNING THIS TYPE OF WORK l'JILL BE COMFUEU �^• �.Tht PJHETHER SPEpFIED NEREIN OR <br />NOL THE GRAN7ING OF A PERIJIT DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE CP. Cl.IJCEL TME PROVISION OF ANY OThER <br />STATE OR LOCAL WW R'cGULATING CONSTRUCTION OR TME PERFORA7ANCE OF CONSTRUC i Ip;1. THAT I AL1 AUTHORIZED 8'( THE <br />Ol4NER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPL�CATION IS MADE MD' COMPLY WIT4 THE STATE <br />CO�JTR CTORS lA 27 RCW AIJf] 795 200�`( / <br />_ /�lii�-��. n�'J? 4tit � LJ Z! / ��O �O <br />DEBIT 8 CRE�IT CARDS ARE NOT ACCFPTEp <br />