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 YO — V <br />PARCEL TAX I.D. II <br />R IT r <br />LEGAL LOT NO. <br />DESC. <br />BLOCK <br />TRACT <br />OWNER ADDRESS CITY/ZIP PHONE <br />F�) nF- Id% <br />TENANT NAME <br />goc ( N(� <br />CONTACT FOR PERMIT PHONE <br />CONTRACTOR ADDRESS CITYIZIP PHONE <br />Kq t' ty)ER (kL <br />CONTR. LICENSE M <br />USE OF BUILDING I <br />tlf 4-fo' <br />— HEAT SOURCE <br />Electric Gas Other <br />I CONTRACT PRICE OF WORK <br />1110 (1 C) <br />WORK DESCRIPTION <br />��pLf}GI� CC-/LInJG c-4R-IY� <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbarlmopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />_ <br />_ <br />A/C - air handling units <br />Fond 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 pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />_ <br />CRY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceritify that I have reed and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates 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 <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 Contractors Law 18 7 RCW an9 296.200 WAC. <br />��"r '/ �W� Y�i <br />Signature of Owner/Contractor/Autnorizedgent veto �/ <br />