Laserfiche WebLink
--- — � -- -- <br /> 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 � `-J� � <br /> PARCEL TAX I.D.N I PERMIT� �' I <br /> SITE ADDRESS ��� <br /> � � � � �� � a- D� �s <br /> , ,� ��— <br /> LEGAL LOT NO. B'.00K TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER AODRE55 CITYIZIP PHONE <br /> %rlil/F� �nnf� ��/n/P7 ��/$ 6:q5Y �A�i�� fc4�� �VC/�7Y' `��1�1� �CG-���D 5` <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> QD�d-e-�� E•MAIL <br /> CONTR.UCENSE M �(/J I`^' � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S/bG� F/�M�`y �'GS�U`"N`,� _Electric _Gas_Other g'� _ <br /> \ o�! i1^l (,•� <br /> � J�n!' �ILJ <br /> WORK DESCRIPTION <br /> �� ,n �� .� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet A/C -air handlmg units � <br /> � Bathlub � Forced air systems Q,/��G „u�� I <br /> � Lavalory (wash basin) �_ Gas piping i � <br /> Shower l�� Water heater - i <br /> T Kl�chen sink& disposal _ Gas fireplace �. <br /> "-1- Dishwasher Gasrange <br /> = Clclhes washer � Clothes dryer I <br /> Water heater (_� Renge hood <br /> Sink (servicelbarlmoplelc ) � Exhaust fan <br /> Backllow preventer _ Heat pump <br /> Urinal _ Uni�heater <br /> Drmkmg�ountain _ Boiler <br /> Floor drain Reingeration <br /> Grease trap �� Woodslove <br /> Rooldrams _ O�her !.e✓c%n� <br /> i <br /> O�her — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby certify Ihat I have read and examined Ihis application and know the same lo be irue and correcl. All provisions ollaws and <br /> ordmances goveming this type of work will be complied with whether specifed herein or nol. The granting af e pertnit doea not presume <br /> to give authority to violate or cencel ihe provision ol any olher slale or local law regulating conslruclion or the peAormance ol <br /> construction. That I am outhorized by Ihe owner of Ihis property to perlorm Ihe work lor which epplication ia made end I comply with Ihe <br /> State Coniraclors Law 18 27 RCW and 296200 WAC. <br /> , , �7.-3/-O i <br /> S�ignature o 0 n�/Conlfac�od uthorized Agent �— � <br /> � I <br />