Laserfiche WebLink
PE� _,VIIT APPLICATIOf. <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />siTe noor�ess <br />A34 80`_h Street SW <br />LEGAL LOT NO. <br />Sound Venlures <br />TENAIJT NAME <br />� Fastener's Inc <br />; CGNTRACTOR <br />State Mechanical Co <br />PHONE <br />206-575•7527 <br />PROPOSEII USC OF Bl'ILDING <br />PARCEL TAX I.O. N <br />Suite 200 Zgi <br />BLOCK TRACT <br />320 ?06th Ave NG Bellevue Wa <br />I CONTACTNAME <br />Tenant Improvement <br />•:��� <br />Y <br />205-223-9500 <br />PMONE <br />ADDPESS ZIP CONTR. LICENSE» <br />600 Industry Dr q6 Tukwila Wa 98188 STATEMC141C7 <br />Building jj�� Mechnnical <br />PERMI7 R Combinalion p Plumbiny <br />TYPE D Demolitian p Sign <br />L� Spnnklcr <br />CONiRACT PRICE OF WOhK 8, OOO . OO <br />WORK DESCRIPTION <br />AAdition <br />WORK Aneration <br />TYPE New <br />Repair,lde�nt <br />HEATSOURCE <br />Electnc <br />Gas <br />Oth9r <br />CITY OF EVERETT LOCAI SALES TAX COOE IS 3105 <br />Supply 8 install fixtures for tenant iniprovement <br />NO, I TYPE OF FIXTUFC- OR ITEM <br />i.� <br />WATER CLOS[T <br />BATliTUB <br />LAVA70HY (WASH �ASIN) <br />SHOWER <br />KITCHEN SINI( 8 DISPOSAL <br />DISHWASHER <br />LAUNDqYTRAY <br />CLOTHES Wl1SHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK �SERVICE�BAR/MOP'ETC.) <br />N0. I TYPE OF FI%TURE OR ITEM <br />A/C —NHANDLING UNITS <br />FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />_� UfIITHEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />� WATER HEATER <br />METALFIREPLACE/STOVE <br />FIREPU+CE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEfiEP � CERITIFY ?HAT I HAVE READ AND E�(F�dINED THIS APPUCATION AND K�JO�: THE SAME TO 0[ TRUE AND CORRECT. ALL <br />PROVIS�ONS OF L1W5 aN� ORIDINaC[S GOVEFNING THIS TVPE OF WCRK WILL BE COM1IPUE� WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERM1IIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOtATE OR CAN�EL THE PROVISION OF 4NV OTHEF <br />5TATE OR LOCAL LAW REGUTA?ING CONSTRUCTION OR TNE PERFORh1ANCE OF CONSTRUCTICN. TMhT I Ald AUTHORIZED BV THE <br />GWNER OF THIS PROPERN TO PERFORh1 THE WORK FOR WHICH APPLICATiON IS 1.1ADE AND I COMPLY WITH THE STATE <br />CONTRACTOPS LA1Y 18.Z7 RCW AND 296200 WAC. <br />Signature of OwnevConlractouAu�honzed Agent Date <br />