Laserfiche WebLink
PItRMIT APPLICATION <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 /D <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PERMMIITj # <br />LEGAL LOT NO. <br />BLOCK <br />TRACT OR SUBDIVISION # <br />DESC. <br />OWNER ADDRESS CITYIZIP PHONE ,1-6 j=0, <br />J� �c-/y Jy�C �// /V ,��3> Sill Ave- sue(/ !��c>:P't <br />TENANT NAME I <br />CONTACT FOR PERMIT PHONE <br />'CTOR <br />CON ADORE S TYI PHON <br /><' 2 <br />CONT CENSE # I S G R J �� N <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />_Electric _Gas _Other <br />I J <br />WORK DESCRIPTION <br />2z e-7 Y <br />l� <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ <br />A/C — air handling units <br />_ <br />Bathtub <br />_ <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />_ <br />Shower <br />_ <br />Water healer <br />_ <br />Kitchen sink 8 disposal <br />_ <br />Gas fireplace <br />_ <br />Dishwasher <br />_ <br />Gas range <br />_ <br />Clothes washer <br />_ <br />Clothes dryer <br />_ <br />Water heater <br />_ <br />Range hood <br />_ <br />_ <br />Sink (service/bar/mop/etc.) <br />_ <br />Exhaust fan <br />Backflow preventer <br />_ <br />Heat pump <br />_ <br />Urinal <br />_ <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances gover g this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />�o <br />to give authonjy violate or cancel the provision of any other state or local law regulating construction or the performance of <br />conslrucliopp. hat l am authorized by the owner of this properly to perform the work for which application is made and I comply with the <br />Stale C rilractors Law 18.27 RCW and 29 .200 WAC. <br />/3 <br />at t' ner/Contractor/Authorized Agent Date <br />7—C <br />