Laserfiche WebLink
SITE ADDRESS <br />LOT NO. <br />DESC <br />PtRMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8870 - FAX 425-257-8857 <br />BLOCK I TRACT <br />PARCEL TAX I.D. N <br />(PERMIT N <br />n _ <br />�1 4 r �ri Sl, .�j- 17�;i l :� SW l��'� l'��i>)3`,s-3�27F <br />; S;. <br />TENANT NAME f,ONTA(.! FOR PERMIT PHONE <br />CONTRACTOR <br />PHONE <br />PROP09ED USE OF BUILDIN6 <br />CONTRACT PRICE OF WORK <br />ADDRESS <br />ZIP CONTR. LICEN9E N <br />Building DIdechenicel Additlon <br />PERMIT R Combinetion U Plumbing WORK � Alterauon <br />TVPE Demolifion �) Sign 7YPE Naw <br />B Spnnkler t Repair/Maint. <br />WORK DESCRIPTION i � I <br />�ZP�Or'�C in� [.+� �Pvf l�i� M���Pfr.1 S. <br />NO. � TVPE OF FIXTURF. OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />S IOWER <br />KITCHEN SINK 8 DISPOSPL <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRPIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER _ <br />'Ga <br />HEATSOURCE <br />�EIec1Ac <br />Gas <br />Other <br />CITV OF EVrRETT LOCAL 9ALE3 TA% cooE is aios <br />MECHANICAL <br />TYPF OF flllTURE OR ITEM <br />A/C - AlHANDLING UNITS <br />FORCEU AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />ME',AL FIR[PLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />i HERcBV CERITIFV THAT I HAVE READ AND EXAMIiJED THIS APPL;CATION AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />nROViSIUNS OF IAWS AND ORIDINACES GOVERNING TMIS TVPE OF `NORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREtN OR <br />NOT THE iiRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHnRITV TO VIOL4TE OR CANCEL THE PROVI£ION OF ANV OTMER <br />STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS7'RUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADF. AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296 200 VlAC. <br />' "� ��1�iC'j <br />_'/�1—�'r_ � �.,. _'___'__,'T, ...�__".. n......� ola <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />