Laserfiche WebLink
P�RMIT APPLICATIC�N <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 />s-ay-o� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />��,Z J r -t� � r � c, � <br />LEGA LOi NO. OLOCK <br />DE. C. <br />OWPIER <br />TEliANT NAME <br />PARCEL TN( �.D. # <br />TRACT <br />�7� <br />ICONTACT FOR PERMIT <br />�c�l�� F� S-�c�!,,� <br />COViRACTOR ADDRESS <br />CONT17. LICENSE # Ii1i t J � S��S �� �� � <br />USE OF BUILDING <br />WORK DESCRIPTION <br />CITY2IP <br />PERN,IT # <br />� Sc.:; _ <br />� ca r�(,�t �, (ti1 /,1— <br />PHON�% <br />PHONL <br />�"3 � �`� `c ( S 3 o F <br />PHONE <br />��`'`�tr ��5�,t�� (�, 1� ���c.� �y� S�� <br />HEATSOURCE <br />Electric Gas Otber <br />CONTRACT PRICE OF WORK <br />-� � r� 5�., ; � r ��s io -. S�s�.� S „� �I� � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry lray <br />Sink (service/bar/mop/etc.) <br />BackOow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />TYPE OF fIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas pipin� <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Olher ' <br />od� � f�SS/U� <br />CITY OF EVERETT LOCAL S.�LES TAX CODE IS 7105 <br />I hereby ceriti(y lha[ I have read and examined this applicalion and know the same to be true and correcL All provisions of laws and <br />ordinaces governing lhis type of work will be complied with whether specified herein or not. The granting of a permil does not presume <br />to give aulhority lo violale or cancei the provision of any other stale or Iocal law regulating consWclion or lhe pertormance of <br />construcliori�a� I am authorized by lhe owner of this property to pedorm the work for which applicalion is made and I comply wilh lhe <br />Stale Conlracto Law 18.27� RCVQ�and 296.200 WAC. <br />I�� <br />