Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT RERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VdA 98201 <br />425-257-8810 — FAX 425-257-f3857 <br />SITE ADDRESS <br />7�/,2 �/ E✓ <br />LOT NO. BLbCK T'.ACT <br />y �'s � , f„� <br />PARCEL TAX I.D. # <br />PERMIT # <br />Jio� <br />"..._.. ......�.�.,., ur rnurvcyz� ys�1-�g�e <br />st,�.,�.��o -��;��;�r �.�.�. 60� .�oz� AvE .�/F '`�Zo6 aE.�E K� 9�00� <br />TENANTNAME I CONTACTNAME PHONE <br />GoGD F�1q.c�Kp Loq.�s KFv;.� I-fooK 5�25-8,2/-S9y/ <br />CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br />��I� �r<<ydN;�ac z�c�. po Qox 2io y ��...�atiJ wA 9�o�3-�ioy <br />PROPOSEO USE OF BUILDING <br />?Ef.o:L <br />PERMIT <br />TYPE <br />CONTRACTPRICEOFWORK z�a� oe <br />�Building � Mechanical <br />Combination Plumbing <br />Demolition Sign <br />Sprinkler <br />Addi�ian <br />Alleration <br />New <br />Repaidh7aint. <br />HEATSOURCE <br />Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />WORKDESCRIPTION TrIS�II ortC �'�iJlf SiHK �J <br />/ I�Cas-I�Z Tit.lp. <br />NO. � TYPE OF FIXTl1RE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C-A/HANDLING UNITS <br />FORCGD AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEH�OD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAM1IINED THIS APPLICATION AND KNOW THE SAME TO BE T4UE 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 AA1 AUTHORIZED BY THE <br />OWNER OF THIS FROPERTY TO PERFORM THF WORK FOR WHICH APPLICATION IS R1ADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />-02-02 <br />`�a <br />