Laserfiche WebLink
SITE AUDRESS <br />LOT NO. <br />TENANTNAME <br />CONTR. LICENSE p <br />USE OF BUILDING <br />PERMIT APPLICATI�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. q <br />BLOCK i TRACT <br />CONTACTFORPERMIT <br />9LL /'rrm�n ena'a! �<,1 <br />DRESS <br />/- �^�I�� <br />� 1 i 3r��. �ti nv� .s <br />HEAT SOURCE <br />Electric Gas Olhor <br />WORK DESCRIPTION <br />�'YI.s7 U.N Gt/cA��Yv� Ci>77�'Q+� � f7�CeZ['��' <br />NO. I TYPE OF FI%TURt OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchon sink & disposal <br />Dishwasher <br />Clothes washor <br />Wator heator <br />Sink (service/badmop/etc.) <br />Backflow proventer <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />PHONE <br />CONTRACT PRICE OF WORK <br />!r.7 <br />. <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heator <br />Gas fireplaco <br />Gas ranga <br />Clothes dryer <br />Ranga hood <br />Exh�uslfan <br />Hea� pump <br />Unit haatar <br />Boiler <br />� Refrigeration <br />Woodstovo <br />Other <br />CIN OF EVERETT LOCHL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and ezamined this application and know the sama to be true and correct. Ail provisions of laws and <br />ordinaces govorning this type of work will be complied with whothor specified heroin or nol. The granting af a pertnil does not presumo <br />to give authority to violato or cancel Iho provision of any other state or local taw rogulating conslruc6on or the pedormance ot <br />constructio iat I am aulhorized by tho owner of this property to pe�form lhe work tor which apptica6on is made and I comply with the <br />Stale Co tors Law J8:27�RCW��and 2�('i.200 WAC. <br />�i' <br />