Laserfiche WebLink
PLIRMIT APPLICATICA <br />CITY OF EVERETT PERMIT SERVICES <br />2200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS PARCEL TAX I.D. N <br />XERMII a <br />- <br />LEGA LOT NO. <br />BLOCK <br />t1-)'-'4 <br />TRACT <br />—DESC. 3 <br />c..= �3t=Vf_V I'�GXt�ti../Ai4GT'� _ <br />OWNER AUDRESSS ZIP PHONE <br />6Q1AC1�j"L"= v �si�r,� _—_T729T <br />TENANT NAIVE <br />CONTACT FOR PERMIT PHONE <br />I <br />� <br />)fL- t= nlli,- ac c <br />CONTRACTOR J/a14L /tS C'G-IA�� ADDRESS ZIP CONTR. LICENSE 0 <br />PHONE <br />PROPOSED USE OF BUILDING <br />Building 1-1 Mechanical <br />Addition <br />HEATSOURCE <br />PERMIT <br />-Combination IIL—J(( Plum nU <br />WORK <br />Altemlion <br />i Electric <br />TYPE <br />Demolition Sign <br />TYPE <br />New <br />_ Gas <br />SSprinkler <br />Repair/Malnl. <br />Olher <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />A/C—A/HANDLING UNITS <br />WATER CLOSET (TOILET) <br />BATHTUB <br />r <br />FORCL-D AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISPOSAL <br />_[_ <br />CLOTHES DRYER <br />DISHWASHER <br />_L <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />_ <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLAr F INSERT <br />_ <br />DRINKING FOUNTAIN <br />GAS FIRE, LACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />_ <br />GAS PIPING <br />_ <br />SINK (SERVICE/BAfLMOP/ETC.) <br />4T <br />EXHAUST FAN <br />OTHER <br />OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEU BY THE <br />OWNER OF TI IS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT S W 18 27 RCW AND 290 200 WAC. <br />1-7'g -03 <br />Sigadure oil Owner/ContracfbrfAultiorized Agent Dato <br />I�1 <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />