Laserfiche WebLink
PERMIT APPLICATION <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 />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />'� ��%� <br />LEGAL LOT NO. BLOCK TRACT <br />DES( MI-2-d� <br />t <br />OWNER ADDRESS CITY/ZIP PHONE <br />_J6 Q1 1� RLIIelln 96.3d=2A1 � a11� 1AJa 91 72s22. ©r7-a-Q1 <br />TENANT NAME 'I CONTACT FOR PERMIT PHONE <br />CONTRACTOR ADDRESS CITY/ZIP PHONE <br />CONTR. LICENSE # <br />.USE OF BUILDING HEAT SOURCE rCONTRACT PRICE OF WORK <br />Electric 9 Gas _ Other <br />WORK DESCRIPTION <br />i <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />- ��._--,._._ MMfi HANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />I <br />I <br />_I <br />I <br />A/C —air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pu%np <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />_ <br />I <br />_ <br />_L <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws 'and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of e <br />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 <br />'State CogtractorS Law 18.27 RCV16,and 296.200 WAC. <br />