Laserfiche WebLink
��� <br />SITE ADDRESS <br />LO � LOT N0. <br />DES�. <br />P�RMIT APPLICATIC�id <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — F.4X 425-257-8857 <br />PARCEL T!U( I.D. N I G MIT g n�� <br />�S/ 70o7_O 27 00 � 77/d <br />TRACT <br />AODRE39 ZIP PHONE <br />P�'i�vaJc c��rad[.QyLS b �io of L�L.r/-F fg2O1 <br />TENAN�AME I CONTACTFORPERMIT PHONE <br />VOLVO RLN'�' STL�VC. �Leuti� �LS•%�(^Q�iSS' <br />CONTRACTOR BG � r� �V [o �J t O <br />PHONE �t5-• %JL- Si H 3 Y <br />ADDRESS <br />�oV /f.� r�'3 ... � A <br />iGutve fF � c,� 4gso 3 <br />ZIP CONTFt. LICENSE N <br />/��ilr.VrO %%C �M <br />PROPOSEDUSEOFBUILOING I TMPEIT �%Demol9on�nJ��Signb��Aal I�'EK-K'RePralrlMalnt. I HEAT9GI9ctric <br />��� U Sprinkler LJ V Olher <br />CONTRACT PRICE OF WORK„t L 00. "� CITY OF EVERETT LOCAL SALES TA%C^:; 19 3106 <br />WORK DESCRIPTION ;NS'k LC �� � t � i 5 O� V� NJ � <br />NO. I TYPE OF FIXTURE OR ITEM <br />WAl ER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLGTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE.�BAR/MOP/ETC.) <br />OTHER <br />NO. 1 TYPE OF FIXNRE OR ITEM <br />� <br />� <br />A/C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPL4CE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIPV THAT I HAVF READ AND EMMINED THIS APPLICATION AIJD KNOW THE SAME TO BE TRU£ AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE C�MPLIED WITM 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 OTf1ER <br />STATE OR LOCAL LAW REGULATING CONS'RUCTION OR 7HE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER O� THIS PROPERTY TO P�F ORPd TH�E VORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACi0R5 Ll�WjB17 ijGyrAy�y(r2C?$�XC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />