Laserfiche WebLink
PERMIT APPLICATION <br />� ITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVEI�ETT, WA 98201 <br />425-257-8810 - FAX 425-257-Sf�57 <br />SITE ADDRESS <br />-tti <br />_�g�S _�-r���.�. <br />�_EG.1�L LOT N0. BLOCK <br />,•cSC f I G <br />f'�1C1'0.�i <br />iENaN7 NAME <br />�ON:R.ICTOR ' <br />!� J�c�.��--�`-_`J��l�.'�a:ia,lao <br />PHONE <br />--%�i3' <br />PROPOSED USE OF BUILDING <br />_i � �- j: �t.�.��_-ieh- <br />CONTRACT PRICE Of WORK <br />WORK DESCRIPTION <br />�ARCEL TAX I.D. tt <br />��yo� bo,�,o <br />TRACT <br />l (Gh7�` �5 N <br />ICONTACT FOR PERIAIT <br />�G3// -GY�Z <br />PERMIT it <br />3.;,,� :�aSs <br />PfWNE <br />al�. �{�s'-7�13-1�1$ <br />PHOPJE <br />ADOTiE55 � ZIP CONTR. LICENS.-: t! <br />�Zo3a-3�=�({u�s� ^u'.�1-1� �$��a- aoa�(�E��3�.�� <br />uilding �dechanical <br />PERMIT � ombination Plumbing <br />TYFE Demoldion � Sign <br />�.- :prinkler <br />AtldM1ion <br />WORK Alteranan <br />rvve r,�N <br />Repam7Aaint. <br />HEATSOURCE <br />I:IccVic <br />�,5 <br /><llilef <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />�...k �su..� 1 � 11�= .��,,.:,�c� ���,..� ..�.��e�`t' <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DiSMYVASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DkAIN <br />BACKFLOYIPREVENTER <br />SINK (S'cR`/IC6'BAWh10P%ETC.j <br />OTHER. <br />ME'.:HAh <br />NO. I TYPE OF FIXTURE OR IiEM <br />NC — A/HANDLING UNITS <br />_L FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />UNIT HEAT'cRS <br />� CLOTHES DRYER <br />� RANGEHOOD <br />� WATER HEATER <br />_ P�IETAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />_J_ GAS FIREPLACE <br />�GAS R.4NGE <br />GAS PIPING <br />r' EXHAUST FAN <br />OTHEn <br />-+cREBY CERITIF/ THAT I HnVE REPD AND Ei(AIdINcD THIS APPLICATION HND KtJOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�?OVISIONS OF LAWS AND ORIDR�A�ES �OVERNING THIS TYPE OF WCftK WILL BE COMPLIE� WITH VJNETHER SPECIFIED HEREIN OR <br />'�0' iHE GRkNTWG OF A PERId1T DOES NOT PRESU�dE TO GIVE AUTHORITY TJ VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />;T:.TE OR LOCA: l:+W R'cGULhTING COPISTRUrTION OR THE PERFORlLANCE OF CONSTRUGTION. 7HAT I AM AU7HORIZED BY THE <br />�,:RIER OP THI$ PRO?ERT'I TO PERFORIA THE'NORK FOR'NHICH APPLICATIOM IS �dADE AND I COMPLY WITH THE STATE <br />�:pNTRACTORS IhW 1827 RCT! AN0 2552001"JAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />