Laserfiche WebLink
I'I Q�RMIT APPLICATII.N <br />� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />I 425•257-8810 - FAX 425-257-8857 <br />SITE AOURESS � i, PARCEL TAX I.U. M�� t �} 1 PEFh11T w <br />� IL(nnT �e�� <br />/�'� l, �,4 I"'�� S ��� �C�G.�;�°�9GOnnn4 Oo �� <br />� FrA—� NO. BLOCK TRACT <br />DESC <br />�l C � <br />/�,� T�ec��,�J�c� Cor {� 1�OCy �G�`i -�'ere� '��S��p:� 4J5 303-�IbO <br />TENANTNAME CONTACTNAME PHONE <br />ih,c. Tre��l�av Gnr,� /Safh�� -t"re�l��nv UZS 3D_3-81Cc <br />CONTRACTOR AODPESS ZIP CONTR. IICENSE M <br />7l�z � rl'- C���by Co� p �-�(� r-� 301`) �Vt�V��� TF.CDW�- I i�n K0 <br />PMONE l� LS - `, C� .7 `J�(, IGP, � O,IO.'� __.. <br />PFOPOSED USE Of BUILDING <br />n,��.�i}� {��{�,���y <br />YC':�dc�i�.�� <br />Building D Mechanical <br />PERMIT � Cam6inetion I ) Plum6ing <br />TYPE Dein01ili0n D Sign <br />Sprinkler <br />CONTRACT PRICE OF WOFN . i� <br />�! <br />WORN DESCRIPTION <br />�:;U��� _n�,�,��x <br />NO. I TVPE 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 />GLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN7ER <br />SINK �SERVICE.��APoMOF'.'ETCJ <br />OTHER <br />�ddition <br />WORK Alteration <br />IYPE New <br />RepAir/Maint. <br />MEATSOURCE <br />Elecinc <br />Other <br />CITY OF EVEREIT LOCAL SALES TA% CODE IS 3105 <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SVSTEMS �u � S <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER �� -r <br />RANGEHOOD <br />WATER HEATER C �� 5 <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS F7ANOE <br />GAS PIPING <br />EXHAUSTFAN <br />i Hf776BV CERITIFV 'HAT I HAVE RFA� AND EXAMINED THIS APPLICATIJN ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORI�INACES GOVERNING THIS TVPE OF WOqK WILL BE COMPLIED WITH WNETHER SPECIFIED HEREIN OR <br />NpT THE GRaNT�NG OF A PERMIT DOES NOT PpESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL Tr1E PFOVISION OF ANY OTHER <br />STAiE Oq LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFORRIANCE OF CONSTRUCTION THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PFOPERTY TO PERFORM THE WOPN FOR WHICH APPLICATION IS MAOE AND I COMPLV WITH THE STATE <br />CONTRAC70R5 LAW t8 27 RCW AND 296200 WAC <br />��'���1���� Jz._�i<< <<�� �//l�/c�� <br />Signalure o euContraclouAidhon d Agenl �e �jZ <br />