Laserfiche WebLink
PILRMIT APPLICATIGN <br />0:77 CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS <br />PARCEL TAX I.D. N <br />PERMIT a <br />'o-7 "ta <br />C) a7000F <br />(9/Z <br />LEGADESCI�LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />O <br />OWNER ADDRESS ZIP PHONE <br />/�7 1 ��11 (( r� ( c (^ p ( (] <br />f 00e, don ST, k 7Cl <br />/CO✓l /lAr4,,r�SUYN �'i.) 7 1 c�bFF <br />TENANT NAME <br />CONTACT NAME PHONE <br />S;e> <br />jr r� ( ao6 ) 3S9 -,911 q <br />CONTRACTOR e4IL4 /1 .n SP Q ��'! y nOAZIRESS 16 IONTR. LICENSE N C� <br />' 1 Y l�4 Y' K �jL;X ✓ RWu R Q t t Oil <br />PHONE i(a 06J 76 <br />p 7000 <br />PROPOSED USE OF BUILDING <br />Building Mechanical <br />Addhan <br />HEAT SOURCE <br />PERMIT <br />g COmbination Plumbing <br />Aueralion <br />j� Electric <br />TYPE <br />B Demolition Sign <br />(WORK <br />TYPE <br />New <br />H <br />jFL--(/j Gas <br />I <br />Sprinkler <br />RepaurPdmri <br />Other <br />CONTRACT PRICE OF WORK SQJtxo <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION p <br />MM�J PoO1 <br />., <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />WATER CLOSET <br />_ <br />A!C-A/HANDLING UNITS <br />_ <br />BATHTUB . <br />FORCED AIR SYSTEMS <br />_ <br />, <br />LAVATORY (WASH BASIN) <br />— <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 8 DISPOSAL <br />CLOTHES DRYER <br />_ <br />DISHWASHER <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />_ <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />— <br />FLOOR DRAIN <br />GAS RANGE <br />_ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST Ary <br />_ <br />OTHER <br />e <br />OTHER f� r <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 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 THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRA' OR W 18.27 RCW AND 296.200 WAC. <br />SignGtbre o1ConlractorlAuthonzed Agent '� -Date-�c t 2 <br />