Laserfiche WebLink
P�RMIT APPLICATfOiV � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CED.4R 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 - DESIT &CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2 �8' Srcx�c�wf1- DO 3 cri �- (� 3O 1 `"'100 I JoSoy-�,o�— <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AD�RE55 CITY/Zlp PHONE <br /> f�cQ��u ARq�� 4 32 z a' r���� �'vt 9�'zo� (y2s� zs92 <br /> TENANT NAME CONTAC"f FOR PE� PHONE <br /> ICONTRACTOR ADfiRESS CITYI2IP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING I HEA7 SOURCL' I CONTRACT PRICE OF WORK <br /> �j.,9 � R �l� Electric _Gas_other <br /> WORKDESCRI ION ,r„�qy, an�� <br /> i i PLUMB.NG <br /> MECHANICAL <br /> NO. TYPE OF FIXTURL•OR ITEM NO. . TYPE OF!=1%TURE OR ITEM <br />� _ Toilet fVC—air handling units <br /> _ Bathtub Forced air systems <br /> _ Lavatory(wash basin) Gas pioing <br /> _ Shower Water heater <br /> _ Kitchen sink&disposal Gas fireplace <br /> _ Dishwasher Gas rangc: <br /> _ Clolhes washer Clolhes dryer <br /> _ Laundry tray Range hood <br /> _ Sink(service/bar/mop/elc.) Exhaust fan <br /> _ BackOow prevenler Heat pump <br /> _ Urinal Unit heater <br /> _ Drinking Fountain Boiler <br /> _ Floor drain Refrigeration <br /> _ Grease trap Woodstove <br /> _ Roof dra�ns Olher <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�705 <br /> I hereby cenlify ihat I have read and examined ihis applicalion and know the same lo be lrue and conecl All provisions o(laws and <br /> ordinaces governing this type of work will be complied wilh whether specified herein or not.The granling of a permit does nol presume <br /> to give authority to violate or cancel lhe provision o(any olher stale or local law regulating construction or tho per(ormance of <br /> conslruction.That I am authorized by lhe owner o�Ihis property to peAorm the work for which application is made and I comply with ihe <br /> State Contractors Law 18.27 RCW and 296.200 WAC. � <br /> ���-�-�`���r�r-'l v��� �.1 <br /> Si n OwnedCon racl /Auth nzed genl Date <br />