832 80TH ST SW BASE FILE 2018-01-02 MF Import

P'' -RMIT APPLICATIC J Oorrr CITY OF EVERE17 PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 SITE ADDRESS ¢ PARCEL TAX I.D. M PE T w 8so ac ST SW LEGA L07 N0. BLOCK TRACT DESC. OWNER ADDRESS ZIP PHONE 45v�nr Jctjturcs �zo 16(e� 4 qt. - S " 98cny cz3 -9M Vt GrtC ✓u G TENANT NAME I CONTACT NAME PHONE CONTRACTOR STATe, AAE"AM IL 4L ADDRESS '00 wi�yf./ D✓ 9$ ZIP CONTR. LICENSE PHONE T,G..,.,�s ✓t 9F/91! ST�TEMG1�11 PROPOSED USE OF BUILDING I Building Mechanical Addition HEAT SOURCE PERMIT LR1 Combination Plumbing WORK LR.I Alteration Electric TYPE I,..) Demolition Sign TYPE New IQ� Gas LJ Sprinkler U Repair/Maint. V Other CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 WORK nESCRIPTION ') P' "^' -O Ov)Q Lc� ocxj PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM WATER CLOSET A/C — A/HANDLINGUNITS BATHTUB 00 � ^ FORCED AIR SYSTEMS i LAVATORY (WASH BASIN) 12 X C, HEAT PUMP KITCHEN SINK 8 DISPOSAL � \ a�QSHOWER� �Q -1 UNIT HEATERS DISHWASHER _ CLOTHES DRYER RANGE HOOD LAUNDRY TRAY w Q WATER HEATER CLOTHES WASHER <( <0 _ METAL FIREPLACE/STOVE — URINAL — FIREPLACE DRINKING FOUNTAIN f1� ((<) GAS FIREPLACE INSERT _ FLOOR DRAIN GAS RANGE BACKFLOW PREVENTER C1 "e GAS PIPING SINK (SERVICE/BAR/MOP/ETC.) J _ EXHAUST FAN OTHER Q� _ OTHER I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCA EG LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF PROPER TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE Cr•�7RA A t6 RCW AND 296.200 WAC.