Laserfiche WebLink
SITE ADDRESS <br />����o c:�b�, <br />� <br />��i�� � <br />TENANTNAME <br />PERMIT APPLlCATION <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 />PARCEL TAX I.D. # <br />BLOCK I TRACT OR SUBDIVISION # <br />CONTACT FdR PERMIT <br />�-a�-n� <br />PERMIT t{ <br />h1 C��rs � - n'�� <br />Cvlr! i�" `�Sz o's ?uG �'�;��`1- 97$2 <br />PHONE <br />� E-MAIL <br />CONTRACT R A S I I H N <br />c.M +����;�.� .��t• ��,�t e.�„Jwy �,.o��- 7r�� Hzs -�s�- crEC <br />CONTR. LICENSE # - <br />USE OF 6UILDING <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Eleclric �Gas _ Oiher <br />WORK DESCRIPTION <br />i'.Pii-„4i�.-I .:i.t� {,�rn,�t�. d" �nS����ny C� nki�J ��152 <br />/ <br />PLU <br />N0. � TYPE OF FIXTURE OR ITEtd <br />Toilet <br />Bathtub <br />Lavatory (wash basi�) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Waler healer <br />Sink (service/badmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />MECHAN <br />TYPE OF FIXTURE OR ITEM <br />WC — air har.dling units <br />Forccd air syslems— <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas range <br />Clolhes �iry er <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />6oiler <br />Refrigeralion <br />Woodstovo <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceriti(y thal I have read and ezamined lhis application and know the same to be true and correcL All provisions of laws and <br />ordinaces governing Ihis lypo of work will be complied with whether specified herein or not The granliny of a permit dces not presuine <br />to give authonty to violate or cancel tho provision of any olher stale or Iocal law regulating construction or the pe�formance of <br />conSUuction. Thal I am authorized by Ihe owner of this property fo perform lhe work for which applicalion is made and I comply with the <br />S�ato Con�ractors Law 1827 RCW and 29�.200 WAC. <br />