Laserfiche WebLink
PERMIT APPLICATI N <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />�/n - �T, � <br />LEGAL LO NO. BL <br />DESC. <br />/JD,�-I/l57/�R r F�. <br />TENANT NAME <br />CONTRACTOR <br />PR�urn7 J /Rl �ROi/`f7/oN <br />PHONE <br />z5? 97.�-2z n <br />PROPOSED USE OF BUILDINO <br />PEHMIT <br />TYPE <br />PARCEL TAX I.D. M <br />aizo y�w� <br />CONTACT NAME <br />ADDRESS <br />z�o� 7eTN l�UE.E <br />y-li�c,y/�i �Jf� 9842f, <br />�Building Mechanicel I <br />Combinalion B Plumbing WORK <br />Demalition D Sign TYPE <br />Sprfnkler <br />CONTflACT PRICE OF WOfiK ,� /p ?] 7, � O _� <br />0 <br />WORK DESCRIPTION /� / � / /� (_J_ f /�T S P.P/NIYI-t.� <br />� (:l.Ur�.�,�- <br />� 9 �f'PiNk��irS <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATOFY (WASIi �ASIN) <br />SHOW[R <br />KITCHtN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTH[5 WASHER <br />_ URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />�ACKFL�W PiiEVENTER <br />_ SINK (SERVICE/6AfUMOP/ETC.) <br />/ JV1�-O�� <br />�.PERMIT a <br />B OIO b- O 3'z- <br />PHONE <br />4aS -ZS �- 9Goo <br />PHONE <br />CONTR. LICENSE N <br />ojiTR/f I°O 99 cF <br />�Additlon I HEAT SOURCE <br />Alloralian � Eiecldc <br />%1BW Qfl9 <br />RepelrlMalnl. Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �f 05 <br />sySTEM iN c on/oo/yiN�uM <br />NO. I TYPE OF FI%TURE OR REM <br />A/C — A/HANDLINO UNITS <br />FORCED AIR SYSTEMS <br />NEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYEfi <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREDY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF IAWS AND Of;IDINACES GOVERNING THIS NPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PF.FMIT UOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATF OR CANCEI 111E PROVISION OF ANV OTHEH <br />/'ATE OR LOCAL LAW R[GULATINC CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 0V THE <br />� JIJE�i OF T1115 PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />ignalura o Owner/Contreclar/ uthorized gent Date <br />