Laserfiche WebLink
SITE ADDRESS <br />� IS ' <br />LEGA LOT N0. <br />.�,,..E <br />�'ERMIT APPLICAT"�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />lU L7 STQri�iT <br />BLOCK <br />%I DE� <br />TRACT <br />PARCEL TAX I.D. q <br />o i� <br />�a�a - <br />PERMIT ll <br />CO.� i <br />(J coNTAGTNAME PHONE <br />�nt'�rr� �ct�a.o.,�,,a c-oc.+< - �¢ oX �S � � <br />a D\V.FjG'�' 2^3�STi�iR�y.I ADDRESS Fb BcX�-(?J-� ZIp CONTR. LICENSE+� <br />� M4wlc�it.� wA `*az-7 = ��Orzc�t.-988' <br />PHONE �� <br />�iS"o'�l� <br />PROPOSED USE OF BUILDING <br />S,r-✓'� <br />CONTRACT PRICE OF WOqK <br />/t�2s•'Zs�l•3sos <br />Building Mechanical Addilion HEAT SOURCE <br />PERMIT �Combinalion�Plumbing WORK R�.j Alteralion Electnc <br />TYPE Demolition !� Sign TYPE u New Gas <br />Sprinkler � `Repaidfdaint. �Oiher <br />�S�aoo <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />WOHK DESCRIPTION � <br />�« IN 2.F56-�M%-rT — O�'rJ�o GoMPt,Cj,��� p�iyP�e Uo�SE <br />�Suc4.�+R-�c. — �.vcvu.m>-�! — 41VA-�— P`wn�t�.JCG — 5.�5-c-�cwUs �� <br />NO. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WHSHER <br />URINAL <br />DAINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE.�BARlMOP.iETC.) <br />� NvlT1L <br />NO. � TYPE OF FI%TURE OR ITEM <br />A/C — A/HANDI.ING UNITS <br />� FURCED AIR SYSTGti1S f,� <br />_ HEAT PUMP !�� ��t" <br />_ UNIT HEATERS <br />_ CLOTHES DRYER <br />RANGEHOOD <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 HEREBY CERITIFY THAT I HAVE REF� AND EXA6111JED THIS APPLICATION AN� KNOW THE °.ME TO BE TRUE At�D COFRECT. ALL <br />PROVISIONS OF W WS AND OFIDINACES GOVEFNING THIS TYPE OF WORK WILL BE COA"' �IED WITH VJHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAN7IP�G OF q pEAPAIT DCES N07 PRESUM1fE TU GIVE AUTHORITV TO VIOLITE OR CA�JCEL THE PROVISION OF ANY OTHER <br />STATE 0 AL LAW LATING COIlSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWJE OF THI PFj6PER ! TO PERFOFiM THE'NORK FOR WHICH APPLICATION IS �.IADE AMD I CO�dPL'f WITH THE STA7E <br />of�7FACTOR , L.��V 18,e7 RC'N AND 296.200 WAC. , , <br />(b1�2 <br />