Laserfiche WebLink
TERMIT APPLICAT. DIN <br />0:7'r CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS J PARCEL TAX I.D. N PERMIT N <br />�Olq i3 trsE f�cY/'�ir 28u5�Bvo?1Z,�Ov I�D�a G� -- <br />LEGA LOT NO. BLCCK TRACT <br />DESC. <br />OWNER ADDRESS ,.J ZIP PHONE <br />12IC'dJ11�'li ./ • !/1L1r�>tEL 2v/�� 73' <1 i �F Et�%ec/� `'S&,3 3y'8 V7. <br />TENANT NAME i CONTACT NAME PHONE <br />CONTRACTOR G l� r,/ �Y2 ADDRESS ZIP CONTR. LICENSE 0 <br />PHONE` -•— <br />PROPOSED USE OF BUILDING Building Fl MechaniC%it AUC�t�on HEAT SOURCE <br />E�/ I PERMIT R Combination IIL�j( Pl3mbno WORK Allrrrnlinn I Electric <br />N C TYPE B Demolition Sign TYPE New Gas <br />GA 2A E Sprinkler I RepaivMaint Other <br />CONTRACT PRICE OF WORK 7 — CITY OF EVERETT LOCAL SALES TAX COCE IS 7106 <br />WORK DESCRIPTION <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE -OR ITEM <br />_ WATER, A/C — A/HANDLING UNITS <br />_ BATHTL: FORCED AIR SYSTEMS <br />_ LAVATOIi •,,li BASIN) HEAT PUMP <br />_ SHOWER UNIT HEATERS <br />_ KITCHEN SINK & DISPOSAL CLOTHES DRYER <br />_ DISHWASHER RANGE HOOD <br />_ LAUNDRY TRAY WATER HFATER <br />_ CLOTHES WASHER METAL FIREPLACE/STOVE <br />_ URINAL FIREPLACE INSERT <br />_ DRINKING FOUNTAIN GAS FIREPLACE <br />_ FLOOR DRAIN GAS RANGE <br />_ BACKFLOW PREVENTER GAS PIPING <br />_ SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br />OTHER OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TrIUE AND CORRECT. ALL <br />PROVISIONS OF LA%VS AND ORIDINAr TS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DIES NOT PRESUME TO GIVE AUTHORITN' TO VIOLATE OR CANCEL 7.1E PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFC9M THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 'Ft 27 RCW AND 296.200 WAC. <br />SignaKiro of OwnenCon ract NAuthonzed Ag3nl al / <br />/.L <br />