Laserfiche WebLink
SITE AODRESS <br />L[GAL � O <br />UESC. � <br />OWNER <br />�1.�� <br />TENANTNAMF <br />r'ERMIT APPLICAI iON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRcET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PARCEL TAX I.O. k �� ., <br />a <br />BLOCK <br />(„l�/ <br />PERn ilT a <br />c <br />CONTACT FOR PERMIT� ' PHONE I <br />_�.�c� �Nr�a,�-�e /a�� �sa -vs�v �f <br />I CONTRACTOR ADDRESS ZIP CONTR. LICE St <br />�xc��.S yis�oN <br />IPHONE � � <br />� •�A►-� �.a C�,�;�� �CSTI�� ���ISH <br />PROPOSED USE OF BUILDING <br />��L <br />Bwlding Mechanical Addilion HEAT SOURCE � <br />PERMI7 Combination Plumbing WORK �R,( Alterahon Electnc � <br />TYPE � Demolition � Sign TVPE R New � Gas � <br />I Spnnkler U RepainMaml O��ar , <br />CONTRACT PRICE OF WORK I CITV OF EVEtlETT LOCAL SALES TAX CODE IS 3105 � <br />WORK DESCRIPTION �� ��� '��/� /n�r .,� ^� <br />f /� rK �fS S/ C � �s � <br />PLUMBING <br />NO. � TVPE OF FIXTURE OR ITfM <br />WATER CLOSF. T (1UILEi� <br />f3ATHTUf3 <br />'�LAVATORY ('N�SH BASIN) <br />_ SH�WFR <br />( KITf,HEN SINK A DISPOSAL <br />-7 oisF+wnsi+Fa <br />., I_�UNDRY 7RAV <br />/. CI.OiHGS WASH[ft <br />URINl1L <br />DRINKWG FOUNTAIN <br />_ FLOOR DRAIN <br />�ACKFLOW PREVENTER <br />._ SINK(S[RVIG[IpAR/MOP�ETC.� <br />OTii[R <br />NO I TYPE OF FI%TURE OR ITEM <br />_ A/C - NHANDLING UNITS <br />_f_ FORCEO AIR SYSTEMS <br />_ HEAT PUMP <br />_ UNIT HEATERS <br />1 CLOTHES DRY[R <br />_/ RANGEHOOD <br />f WnTER HEATER <br />MFTAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACF <br />GAS RANGE <br />�GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />� r�FREl3V CERITIFV THAT I HAVE RE�U ANU FtAA4NEU THIS A��PLICATiON ANU KNOW THE SAME TO BE TRUE AN� CORRECT. ALL <br />�'�+t�V1510N5 UF LAY1'S ANU ORIUINACES i;OVERNING THIS 7VPE OF WURK WILL AE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br />1d� i � TIIE ��RhNTING OF A P[RM1fiT DOES NUT PRESUh1E TO GIVE AUTHORITI' 7p VIOLAiE OR CA�JCEL THE PROVISION OF ANV OTHER <br />51AT[ OR LUC�L LAW REGULATING CONSTRUCTION UR THE PERFORM1IANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE � <br />i)61'NF.R OF TFuS PROPERTv TO PERFORM iHE �VORI( FpR LVMiCH APAIICATiON IS MADE AND I COMPLV WITH THE STATE i <br />�:nNiRACTOf(S I AlN �9:7 RGW PND ^.96 20C W AC . . <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />