Laserfiche WebLink
SITE AODRES <br />��� <br />LEGAL LOT <br />DESC. � <br />OWNER 1 <br />I <br />TEN NAME <br />PERMIT APPLICATION <br />CITY OF EVERETT �ERMIT 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 T'0 4 PM <br />� <br />S I 1Z6 <br />� <br />PARCEI TAX I.�. p <br />TRACT OR <br />CONTACT FOR PERMIT <br />�� �� <br />� <br />- �}Z2- �j'"i� <br />�� � � ���..��� _...._.. ...- - <br />� ����� � � � �� rc�+v <br />CONTR.LICENSEA � `Z,t LQ <br />�1o�-c� 't �f'ZS-4�i�- �l26Z <br />USE OF BUILDING I HEAT SOURCE � CONTRACT PRICE OF WORK <br />�( rC7 1 �'�� _"' " l <br />WORK DESCRIPTION <br />�!� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Tailel <br />{3alhtub <br />Lavalory (wash 6asin) <br />Shower <br />Kitchen sink 6 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/barlmop/etc.) <br />BackOow proventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Rooi drains <br />Other <br />_ Eleciric _ Gas __ Other <br />.:. - : ,� r <br />. <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unAs <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refngetation <br />Woodst�ve <br />Olher <br />CITY OF EVERETT LOCAI SALES TAX CODE IS J705 <br />I hereby cerility that I have resd and ezamined this applicalion and know the same to be true and correcl. All provisions oi laws and <br />ordinaces ��oveming this typo of work will be complied with whether specified herein or noL The granting o( a permit does not presume <br />to giv� authonly lo iolato or cancr.l Ihe provision ol any olher state or local law regulating r,onstruction or the performance of <br />construclion. t I am aulhori ed by the owner of this pmperty to peAor the w rk for which application is made and I compty with the <br />Stale Co ctors Lavi 18.27 W and 29G200 WAC. <br />" I ,�-� o b� <br />