Laserfiche WebLink
� <br />RMIT APPLICATIvN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />'�'. / SD 2 !,v , <br />LOTNO. BLOCK <br />�H�CCiQ�,� , <br />TENANTNAME <br />%`lf��rn�iPer� %�jGfS�'r� i,�t <br />PARCEL TAX I.D. # <br />G� o � � <br />TRACT 1 <br />�. C`B. 70/.J G' OLQ v <br />CONTACT FOR PERMIT n/J/�/G <br />,PDD���rorl J��uH,Q�ns <br />r� <br />ZIP <br />9Jz0 � <br />�� <br />PERMIT # <br />u� r 3.���� i s� <br />Pr10NE <br />yzT-�rv - <br />CONTRACTOR OQ��lICs'� GU�'LtO/'U �DRESS ZQ3�d /Z�.��x ZIP CONTR.LICENSEK <br />( � L ! ��7,� <br />PHONE /L�C!QI/�%� Z%� <br />PROPOSED USE OF EUILDING � <br />CONTRACT PRICE OF WORK ��Ur <br />WORKDESCRIPT70N � <br />�`L�(% �Gu �1�%Q%If� <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATOFY (WASH BASIN) <br />S40�VER <br />KITCHEN SiNK & DISPOSAL <br />DISHWASHER <br />LAUNDkYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SIIJK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />BuilAing ���iii Mechanical <br />PERMIT � Combination�lumbing <br />TYPe �emolition Sign <br />Sprinkler <br />Addition NEATSOURCE <br />Alterati � Elecinc <br />New Gas <br />Repair/MainL Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 9105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — AIHANDLING UNITS <br />FORCEJ AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/Sl'OVE <br />FIREPLACE INSERT <br />GAS F�REPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAI,ST FAN <br />I NEREBY CERITIFY THAT I HAVE READ AND EXAMINED'HIS 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 />N07. THE GRANTING OF A PFnMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TFiE PROVISION OF ANY CTHER <br />STATE OR LOCAL LAW REGULn fING CON£TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORILD BY THE <br />OWNER OF THIS PROPE13TY TO PER� ORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE ST4TE <br />CONTRACTOR3AAW 18':27 RCWAhig296.200 WAC. <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />