1911 STATE ST 2018-01-02 MF Import

JUN-3-2005 12:45 FROM: 70:14252578857 P,1 PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 - www.everettwa.org APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED SITE ADDRESS PARCEL TAX I.D. 0 PERMIT N ^E19lrOTN•r- -fit BLOCKTRDo, &64 'T-Ml1OoACT euuRE55 CITYRIP PHONE Da iiLd 6rr9� TENANTNAME I CONTACT FOR PERMIT PHONE CON��OIj _��_P1� ^ /i7 � v %ADDRESS CONTR. LICENSE � USE OF BUILDING WORK DESCRIPTION NO. I TYPE OF FIXTURE OR ITEM _ toner _ Bathtub Lavatory (wash basin) Shower Kitchen sink 8 aisposal _ Dishwasher Clothes washer Laundry tray Sink (service/barlmopletc.) _ Backflow preventer _ Urinal _ Drinking Fountain _ Floor drain _ Grease trap Roof drains Other 6'.� CITYRIP PHONE HEATSOURCE _ Electric Gas _ Other CONTRACT PRICE OF WORK -760, MECHANICAL NO. I TYPE OF FIXTURE OR ITEM wi - air nanahng units Forced air systems Gas piping Water heater _ Gas fireplace Gas range Clothes dryer _ Range hood _ Exhaust fan Heat pump Unit heater Bailor _ Refrigeration _ Woodstove =I Other___-_ CITY OF EVERETT LOCAL SALES TAX CODE IS 3IlS I hereby coritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does nut presume to give authority 10 violate or cancel the provision of any other slate or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the Slate Cant ctor$ Law 1 CW and 290.200 WAC. / A