Laserfiche WebLink
� <br />� <br />PE��MIT APPLICATIO�. <br />CITY OF EVERETT PERMiT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE AODFiESS <br />/v�rc�. —�. �/f-vz-. bci <br />LOTNO. � BLOCK I TFACT <br />�ESC. <br />PARCEL TAX I.D. i S� � O <br />. � ZQ ... h i��.,.�._ �� .�,,. <br />coF_ i�o.� -c a 3-0 3 <br />�03 <br />03-oa� <br />••�•••••••••• � `10i—/D�/.O/ S�_ ur rnurvt <br />w2.���e-/� ,%., /Y //z v �ti c. , �=�/4�e-A; w/li . /�g1U5' �/�S" -� 3z-iy i �o <br />TENANTNAME 'I <br />CONTACTNAME PHONE <br />.S��i `1 F_ ..SCv f%� ��Giy.6Pri�0 SIJ�'f"i'Lo <br />CONTRACTOR S�3-UL r� ADORE55 ZIP CONTq. LICENSE M <br />PHONE <br />PROPOSED USE OF BUILDING <br />CONTRACT PRI�E OF WORK <br />Siy,,,� � lN e-/Yt7 e S J%S/�t L <br />Building Mechanical <br />PERMIT Combination � Plumbing <br />TVPE Demalition Sign <br />Sprinkler <br />WORKDESCRIPTION /3/�5�� /,/�ti � zz3 <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK u DISPOSAL <br />DISHWASHEH <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />n Addition FIEATSOURCE <br />h� Alteralion Eiectric <br />}:� New Gas <br />IJ Repair/Maint. Olher <br />CITY OF EVEREIT LOCAL SALES TA% CODE IS 3105 <br />N0. j TYPE OF FIXTURE OR ITEM <br />Wl: — A/MANULING UNITS <br />FORCED AIR 3YSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREfiY CERITIFY'HAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM� TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PflOVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEPTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RC'vV AND 296.200 WAC. <br />3 �� <br />�� <br />