Laserfiche WebLink
w ERMIT APPLICATON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425-257-8857 <br />SITE ADDRESS <br />5'il. tc A <br />- <br />PARCEL TAX I.D. 0 <br />ERMIT 0 <br />11/ 3-0 3o t,% -Si-. <br />S. w. <br />q `I _ '�7Ts� s— <br />AD 3 D3 • a.2 <br />LEOA LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER <br />LP PHONE <br />C.e{: —Pre riT—. <br />/►/GC7AA0[]U//t9 <br />`J <br />�GP 9gL-rk% <br />20( L131.iJ33(. <br />TENANT NAME <br />CONTACT NAME <br />P ONE <br />Z.,Mrez <br />I <br />-rfR�Y <br />-- �' 20�-t3o`29B9 <br />L.5, IA,A) 1 u 11 <br />9zs SSI /,;oo <br />CONTRACTOR by Men <br />f{t,nZl;ny Cc�ttp/,&ADDRESS <br />ZIP CONTR, LICENSE M <br />PHONE 'ZS1. �3;. 21un <br />3SO0 �°ji V'IIej Ji\9Aw"j <br /><<dl RH�mvHck ;°I <br />clHncl <br />�'i- 3+1-�•J-rraLl <br />PROPOSED USE OF BUILDING <br />PERMIT <br />Building MecPlumhanical <br />R Combination R bing <br />WORK <br />Addition <br />R Alteration <br />HEAT SOURCE <br />�i Electric <br />(.JGTe kouye <br />TYPE <br />B Demolition D Sign <br />TYPE <br />B New <br />ILF1J( Gas <br />I <br />Sprinkler <br />Repair/Melnt. <br />Other <br />CONTRACT PRICE OF WORK 17 00 a , OL) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />AAr A44 Iio—J 6,15 o(' R_<L, <br />Constrwr_1e2 in ) Ph sus <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASHBASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />FOUNTAIN <br />DRAIN <br />PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_FIR <br />_LACEFLOOR <br />A C - A/HANOLING UNITS <br />FORCED AIR SYSTEMS <br />UMP <br />ATERS <br />S DRYER <br />HOOD <br />HEA_ <br />LACE/STOVEURINAL INSERTDRINKING <br />NGBACKFLOW <br />ING_ <br />T FAANOTHER c� <br />K <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE. SAME TO BE TRUE ANC 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 AUTHORIZED BY THE <br />OWNER OF TIIIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />DEBIT & (.CREDIT CARDS ARE NOT ACCEPTED <br />