Laserfiche WebLink
PERMIT APPLICATION <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 />g� tO" si <br />PARCEL TAX I.D. N <br />PERMIT / <br />B6401-034— -- <br />LEGAL LOT N0. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />4 AV <br />50L.ndyenttxf n'n Ltti �G 100 <br />N S 1 B tl& 19m /JK)ai3 9500 <br />TENANT NAME <br />�LI <br />CONTACT FOR PERMIT PHONE <br />56' 5-treft Uen+Li.L'� <br />I Chance Gallant (AS3)$7a-7aaa <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE <br />'7S55 <br />Arcs Inns+r•utt;on inc-. `ir:✓�'�.obTLSt hen+,WA 9663} ARC NEIfa19UR <br />PHONE <br />1W>s7).-7aaa <br />PROPOSED USE OF BUILDING I Budding Mechanical Addition HEAT SOURCE <br />PERMIT Combination � plumbing WORK Alteration R EleMrlc <br />TYPE Demolition Sign TYPE PNewGas <br />I I <br />Sprinkler RepalrrMainl U Other <br />CONTRACT PRICE OF WORK � 15 CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORK DESCRIPTION rn` }till New Flrre S/'Knkler Pu NFFX-#13 ShCll D���j� <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />N0. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />A/C — A/HANDLINGUNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER NEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />SINK (SERVICE/BAR/MOP/ETC) <br />EXHAUST FAN <br />OTHER <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS Of LAMS AND ORIOINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIFri WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAr;CEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM A ilTHORIZED By THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 290 200 WAC. <br />Signature o caner/ on rector/ A orized Agent ate <br />DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br />