2802 HOYT AVE EVERETT ELKS 2018-01-02 MF Import

PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 — FAX 425-257-8857 — www.everettwa.Org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a 9 O9 SITE ADDRESS PARCEL TAX I.D. # PER T # LEGAL LOT NO. BLOCK TRACTOR SUBDIVISION # DESC. OWNER ADDRESS CITY/ZIP PHONE TENANT NAME CONTACT FOR PERMIT PHONE F-MAIL CONTRACTOR .ADDRESS CITY/ZIP PHONE CONTR. LICENSE # USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK Electric Gas Other WORK DESCRIPTION PLUMBING MECHANICAL NO. TYPE OF FIXTURE CR ITEM NO. TYPE OF FIXTURE OR ITEM Toilet A/C — air handling units _ Bathtub _ Forced air systems _ Lavatory (wash basin) _ Gas piping _ Shower _ Water heater _ Kitchen sink 8 disposal _ Gas fireplace _ Dishwasher _ Gas range _ Clothes washer _ Clothes dryer _ Water healer _ Range hood _ Sink (service/bar/mop/etc.) _ Exhaust fan _ BackBow prevenler _ Heat pump _ Urinal _ Unit healer _ Drinking Fountain _ Boiler _ Floor drain _ Refrigeration _ Grease trap _ Woodstove _ _ Roof drains __ Other --- Other CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby cerilify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the Slate Contractors Law 18.27 RCW and 296,200 WAC. Signature of Owner/Contractor/Authorized Agent Dale