Laserfiche WebLink
P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES g _ a�-07 <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 �O�OS� <br /> SITE ADDRESS ! PARCEL TAX I.D./f <br /> LEGAL LOT NO. LOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> E-MAIL <br /> O TRACTOR ADDRE 3 � <br /> CONTR.UCENSEp <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eleclric Gas Olher <br /> I WORK DESCRIPTION � __g_ ,�f,� <br /> �i,Y'(�L�C�72�/72e�12t'� ��""�".,�� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO, TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling unils <br /> Bathlub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kitchen sink R disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Cloihes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Backilow preventer _ Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> = Other — =I <br /> CITY OF EVERETT LOCAL SALES TA%COOE IS 3105 <br /> I hereby ceritify thal I have read and examined lhis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces govemin�this type ot work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authorily toy�late or cancel the provision cf any other stale or local law regulating construction or the perfortnance of <br /> conslruclion.ThatQ a��ulhorized by the owner of this property lo perform the work for which application is made and I comply with the <br /> Stal Co�ntraclors La 1827 RCW and 296.°00 WAC. <br /> Si lure o wn /Conlrector/Authorized Agenl Date <br /> / ' <br />