Laserfiche WebLink
� <br />� <br />SITE ADDRESS <br />LOT NO. <br />P�RMIT APPL6CAT!(.�� <br />CITY OF EVERETT PE�MIT SERVICES <br />3200 CEDAR S?REET, EVERE i f, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />TRACT <br />PARCEL TAX I.D. M <br />CONTRACTOR <br />PHONE <br />Ppt-OxPO�� �E�OF BUILDING <br />�' '� <br />CONTFlACT PRICE OF N'ORK <br />WORK DESCRIPTION <br />PERMIT <br />T!PE <br />Building <br />Combination <br />Demolition <br />Sprinkler <br />RMechanical <br />Plumbing <br />D Sign <br />� <br />Addiliun <br />Alleialion <br />New <br />RepeidMaint. <br />FiEAT SOURCE <br />D Elec�ric <br />B Ges <br />Olhe� <br />CITY OF EVERETT IOCAL SALES TAX COOE IS 3105 <br />�/YN[-!✓r/ Wvr/'N� /�-"-'JC%/�/VtF.. <br />PLUMBING <br />j N0. I TYPE OF flXTUHE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MnPiETC.) <br />OTHER <br />NO. � TYPE OF FIXTURE OR REM <br />A/C —A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTIiES ORYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIAEPLACE/STOVE <br />FIREPLACE IIJSF.RT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHEq <br />I HEFEBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNO�V THE SAME TO 6E TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVEFNING THIS TYPE UF WORK WILL BE COMPLIED WITH WHEThIER SPECIFIED HEFEIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHEH <br />STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />O'NNER OF THIS PRO�ERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH T4E STATE <br />CONTFACTOfiS LAW 18.27 RCW AND 296.200 WAC. <br />