812 91ST PL SW 2018-01-02 MF Import

PE IMIT APPLICATIC 4--rr CITY OF EVERETT P=RMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425.257-8810 - FAX 425-257-8857 SITE ADDRESS PARCEL TAX I.D. M PERMIT 812 913t P1 SI? 00688300000200� 3 LEGAI LOT NO. BLOCK TRACT DESC. OWNER ADDRESS ZIP PHONE Ifumberto h Frikn CI-u7 812 91st P1 Si 98204 425-265-0833 TENANT NAME I CONTACT NAME PHONE CONTRACTOR ADDRESS ZIP CONTR. LICENSE 0 Everett Builders, Inc 2481.8 43rd Ave NF 98223 223-01 EV-FR-FR-301PH PHONE 425-353-7161 PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE PERMIT {Y�-((1 Combination LR.( Plumbing WORK Allerellon �1—( c�le9tric S TYPE �j Demolition LJ Sign TYPE New Lj Ges L� Sprinkler Pepair/Mainz. b Other CONTRACT PRICE OF VrORK 47n 500 00 !�� I CITY OF EVERETT LOCAL SALES TAX CODE IS 310S r WORK DESCRIPTION PLUMBING NO. TYPE OF FIXTURE OR REM MECHANICAL NO. TYPE OF FIXTURE OR ITEM WATER CLOSET BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK 8 DISPOSAL DISHWASHER LAUNDRY TRAY CLOTHES WASHER URINAL DRINKING FOUNTAIN FLOOR DRAIN BACKFLOW PREVENTER SINK (SERVICE/BAR/MOP/ETC.) OTHER _ _ _ I _ _ _ _ _ _ _ _ A/C—AIHANDLING UNITS FORCED AIR SYSTEMS HEAT PUMP UNIT HEATERS - bo-,k L -arO CLOTHES DRYER RANGE HOOD WATER HEATER METAL FIREPLACE/STOVE FIREPLACE INSERT GAS FIREPLACE GAS RANGE GAS PIPING EXHAUST FAN OTHER f _ _ _ _ _ _ _ _ _ _ I HEREBY CERITIFY THAT 1 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 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE r.nNTAACTORS LAWIT1.27 RCW AND 296.200 WAC. _ r�L