Laserfiche WebLink
_ � <br /> � P t2MIT APPLICATI <br /> CITY ()F EVERETT PERMIT SERVICES <br /> 3=0Q CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I.D.# PERMIT# <br /> %o�il - I�I+�. e Sr. Jo�1SS��°ooi�o �O�lO�I-a�; <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. t� �a� . <br /> OWNER ADDRESS ZIP PHONt <br /> S►3v,��+ � �Irt�,�h;x.N � ���-c co�-�r t�F �� , w� `�3�i �laS-�tS- s�s� <br /> TENANT NAME CONTACT FOR PER�dIT PHONE <br /> • �oN� <br /> CO�NT,7RACTOR � ADDRESS ZIP CONTR.L�CENSE N <br /> �P�K W��.Fol-J 'T�ui.ICi� 5 �.1,'W-0. �101� �b'�� �T�R'n7 ��. <br /> PHONE Woo��uv��,�.� wA. S�L'�o'lL F�gpy�.vt�BF3c:C. <br /> �ZS- 6zi -�53� <br /> PROPOSED USE OF BUILDING Building MechaniCal Addilion HEAT SOURCE <br /> PERMIT Combination � Plumbing WORK R Altera6on [� Eleclric <br /> ��� _ �U TYPE Demolition U Si9n NPE B Repair/Maint. B Other <br /> � 7�, Sprinkler <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCPL SALES TAX CODE IS 3105 <br /> � �OD , 00 <br /> WORK OESCRIPTION <br /> ��Y+'.J C�IST�=Ci �V`�C. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE 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 /> SHOWER _ UNITHEATERS <br /> KITCHEN SINK& DISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER METAL FIR[PLACE/ OVE <br /> URINAL FIREPLACE INS <br /> DRINKING FOUNT GAS FIREPLA <br /> FLOOR DRAIN GAS RANG <br /> BACKF�OW EVENTER _ GAS PIP G <br /> SINK(SE ICE/BAR/MOP/ETC.) _ EXH T FAN <br /> OTHE OT R <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE�R LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWN�,P1 0�THIS ,1�ERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON 2AaTOR 18.27 RCW AND 296200 WAC. <br /> �a � � ' Or'� 06-0� <br /> Signature of Owner/ContractodAuthonzed Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� <br />