Laserfiche WebLink
P&' ^;T APPLICATA <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.A PERMIT p <br /> // / _ 0407-L)D9 - <br /> LEGAL LOT NO. .)LOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> SC'fidfl7el5 145S .ileS LLL 1,501 /l/ .Gba 57'• l„ry /1//1. 9.P/.3 3 <br /> 'TENANT NAME CONTACT FOR PERMIT PHONE <br /> //Walk LLC <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE N <br /> 5;Jie,-4, Int. 13.576' /3nJ rre.r-/-d,so,. /Irl. elS,i7.S 3+dIF-SuPERs tr l'(,y5 <br /> PHONE /ill. Ve.•no.,� <br /> 6 <br /> -0 ��C6. I,t3H `fib 0 <br /> PROPOSED USE OF BUILDING Addition HEATSOURCE <br /> it/r,,,,; PERMITtBuillin, <br /> Combination �Plecl�nical <br /> umingWORK Alteration D Eloctric <br /> TYPE DemolitionSign TYPE NewUU Gas <br /> //wc,rA Sprinkler Repair/Main- Other <br /> CONTRACT PRICE OF WORK $` +� Cl IY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> -YORK DESCRIPTION <br /> 11 <br /> Int{..�lnli•n of //(�) 10N�(• <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C—A/HANDLING UNITS <br /> _ BATHTUB FORCED A,R SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UNIT HEATERS <br /> _ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS PANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXI,MINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPELT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED'1EREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT"RESUME 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 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM-Hi WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200%A . <br /> �-w- 'L 2cx' <br /> Signature of Owner/Contractor/Authonzed Agent Data <br /> DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />