Laserfiche WebLink
; <br /> PtRMIT APPLI�ATION <br /> �ITY OF EVERETT PERMIT SERVICES <br /> 32p0 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADD ESS PARCEL TAX I.D.� PERMIT# <br /> �/�a � - r Pc�-�c,�-cz� <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> O�� U�, ���'� �RES�� ��� CITY�� �=HONE <br /> TEN NAME I C TACT FO�PERMIT PHONE <br /> u�/ crl��ios <br /> C NTRACTOR � � C(�(���!�C ADDRESSy/v � �� �CITY2IP PHONE <br /> / d <br /> CONTF:.LICENSE# %%�'I ! YLJ—�+E /�/n �� O / 1 G'��/� rr,��'�T i �f�3`�'8'�7�0 <br /> w�v ,� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �� ��.�0� Electric _Gas_Other �QDC7 <br /> WORK DES RIPTIO� Nn <br /> r,�-��x�J' i���i�r/�� <br /> PLUMBING � MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtut Forced air systems <br /> Lavatnry(wash basin) Gas piping <br /> _ �Shower Waterheater <br /> �_ Kitchen sink& disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> �Laundry tray Range hood <br /> Sink(s=rvice/bar/mop/etc.) Exhausl fan <br /> Backflo�:�prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Eoiler <br /> F!oor drain Refrigerafion <br /> � Grease lrap ` Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES SAX CODE IS 3105 <br /> I hf:recy ceriti(y lhat I have read and examined lhis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whether specified herein or noL The granting of a permit does not pr�sume <br /> lo give authonty to violate or cancel fhe provision of any olher state or local law regulating consWction or the performance of <br /> constr�clion.That I am authorized by the owner of lhis property lo perform ihe work for which application is made and I comply wilh the <br /> Slate Contractors Law 18.27 P.CW and 296.200 WAC. <br /> SignaWre of OwnedContractodAuthonzed P.gent Date <br />