Laserfiche WebLink
PE"RMIT APPLICATI <br />CITY OF EVERETT PERMIT SEFtVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />3Yi� <br />TENANT NAMIE <br />CONTRACTOR <br />PHONE <br />PROPOSED USE OF BUILDING <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />� WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATURY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />D�SHWASHER <br />LAUNDRYTR4Y <br />CLOTHES WASHER <br />� URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />PARCEL TAX I.D. # <br />TRACT <br />ICONTACT FOR PERMIT <br />ADDRESS <br />Building D Mechanical <br />PERMIT B Combination u Plumbing WORI <br />7YPE Demolition U Sign TYPE <br />Sprinkler <br />ZIP PHONE <br />ZIP <br />PHONE <br />CONTR. LICENSE # <br />Addition <br />Alteration <br />New <br />RepaidMaint. <br />HEATSOURCE <br />(� Electric <br />B Gas <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METI�L FIREPLACE/STOVE <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATICN AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORIDINACES GOVEftNI�G THIS TYPE OF WORK WILL BE COMPLIED WITN WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHO"r21ZED 8Y THE <br />OINNER OF THIS PROPERTY TO PERFORM THE N'ORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW 9yp�96.200 WAC. <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />