Laserfiche WebLink
P�RMIT 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 ' PARCEL TAX I.D.N PERMi7 a <br /> ���/ .s� , T� o s��o o�a �o o� D o�a�� <br /> LEGA LOTNO. BLOCK TRACT <br /> UESC. <br /> OWNER ADORESS ZIP PHONE — <br /> /70� /,� .vs'�ir/ �g13 /�N��f�Z �gq.�/ `tv�' y;2-y, y/ <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR Jl ADDRESS,, / ZIP CONTR.LICENSE/ <br /> PHONE ��� /7 /i /ti S�/'� ��I J /�U�'S �` <br /> �v� �s�y _yl y> <br /> PROPOSED USE OF BUILDING I Building D Mechanical Addit�on HEAT SOURLE <br /> PERMI7 B Combfnatlon U Plumbing IWORK � Alteration I (7 Electric <br /> TYPE D Demolilion U Sign TYPE New Gas <br /> U Sprinkler RepairlMaint B Ofher <br /> CONTRACT PRICE OF WORK CITY OP EVERE7T LOCAL SALES TAX CODE IS 1705 <br /> WORK OESCRIPTION <br /> ,C� �'/'�'i � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OP FIXNRE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOW ER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URII lAL FIREPLACE INSERT <br /> ORINKING 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 CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH K'HETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> S7ATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE i ERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 8.27 CW AND 296.200 WAC. . <br /> ���� =�� 5���� � <br /> Signa�re of OwnedConlractodAulhorized Agent Da e <br /> DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />