Laserfiche WebLink
SITE ADDRC-SS <br />'.� �G �S rh <br />LEGA LOT N0. <br />DESC. �_�� 1�,��A <br />TENANTNAME <br />���.F <br />CONTRACTOR <br />PHONE <br />PROPOSE� USE OF BUILDING <br />P�.r�MIT APPLICATIG�J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[ET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />PAHCEL TAX I.D. M <br />BLOCK <br />�2C�it�S ,l�lE iSrNsr SE F1'tTZUT <br />CONTACTNAME <br />A�DRESS <br />3uilding D Mechanical <br />PERMI7 Combination U Plumbing WORK <br />TYPE I)omalilion U Sign TYPE <br />;prinkler <br />CONIRACTPRICEOFWORK �1!>�G� S�� <br />WORK OESCRIPTION <br />I�k�L�����vr ��'��-� 1 <br />G'7S �G� <br />NO. I TVPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />UISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN7EF <br />SINK �SERVICE/BAR/MOP/ETC.) <br />OTHER _ <br />PERMIT a <br />����7' <br />6(iIl- ��'r�7 ��. ���'/G•l <br />PHONE <br />ZIP CONTR. LICENSE M <br />Addilion HEATSOURCE <br />Alteretion Q Electric <br />New �.�j Ges <br />Repair/Meint. U Othar <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />N0. I TYFE OF FI%TURE OR ITEM <br />A/C — A/HANfiI ;NG UNITS <br />FORCED Alll SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DAYEFi <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACF. INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GA5 PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBV CEFITIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND NNOW THE SAME TO BE TRUE AND CnRRECT. ALL <br />PROVISIONS OF NOflFIOIM1tALE§ GOVERNIPIG THIS TYPE OF WORN WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br />NO7. THE G ING OF A PERMIT DOeS NOT PRE."iUME 70 GIVE AUTHORITY TO VIOL4TE OR CANCEL TH[ PROVISION OF ANY OTHER <br />STATE O�R L CAL LAW NEGUI�ITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWFIER OFT OPERiY i0 PERFOR�A THL" WORK FOR WHICH APPUCATION IS MADE AND I COMPLY WITH THE S7ATE <br />f.(INTRACTOR AW AND29G20U WAC, <br />� �(%'� �. ✓ <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />