Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS 3bZ I Watw+orc Ave. PARCEL TAX I.D. It PERMIT a <br />Evert*, WA g8201 00 4514 009 Ot0 00 3o3o�-p <br />LEGA LOT NO. BLOCK TRACT 1 , ll ('` `' DESC. to y 1 1 q FY it S 13t Add IT1 i it Cve\ CAI <br />OWNER cev%da opins L., ADDRESS yb21 ej 101Y. i ZIP PHONE <br />Cleo►\ V. Weisz Evareil , WA 98201 (42s) sic) <br />TENANT NAME CONTACT NAME PHONE <br />CkO^ V. WeisZ C425�339-9113 <br />CONTRACTOR ADDRESS ZIP CONTR.UCENSE• <br />PHONE <br />PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br />Ctiaz (e1-b"' PERMIT I <br />Combination �Rj Plumbing WORK Alteration Q-lectric <br />E-v1CllcStLre- TYPE Demolition LJ Sign TYPE New L j Gas <br />Sprinkler (a of heads) Repeir/Meint. Lj Other <br />CONTRACT PRICE OF WORK I r O Q CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION T <br />0()VI5tVLkC+ 11600 j5 wood OU+ B LA ld IInq1 <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) A/C — AIHANDLING UNITS <br />BATHTUB FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) HEAT 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 HEREBY CERTIFY TPAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAW.`, AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTIN'i OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL I AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TH;S FROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON ACT W 18.57 RCW AND 296,200 WAC. <br />Ir�Vn �l\I <br />Signature of Owner/Contract * onzed Agent Date @ <br />