Laserfiche WebLink
PEI�MIT APPLICATIO'i� <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 - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PER IT <br /> S �r �r'- <br /> LEGA LOTNO. BLO�K TRACT <br /> DESC. /( <br /> (J <br /> OWNER ADDRESS CITY2IP PH NE <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION � <br /> %% /"//J /1 �(.Q.�-Q� <br /> ���.�.� / <br /> PLU ING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C—air handling units <br /> _ Bathtub Forced air sys�ems <br /> _ Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> _ Kitchen sink 8 disposal = Gas fireplace <br /> _ Dish vasher Gas range <br /> _ Cloties washer Cbthes dryer <br /> _ Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiier <br /> _ Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other — <br /> I <br /> I CITY OF EVERETT LOCAL SALES 7AX CODE IS 3705 <br /> � I hereby ceritify that I have read and examined this applicaGon and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presum�� <br /> i to give authonty to violate or cancel the provision of any other state or local law regulating constructlon or the perfortnance of <br /> i consWcti . That I am authorized by the owner of this property to perform the work for which application is made and I comply with lhe <br /> State C ors Law 18.27 RCW and 2 6. OC WAC. <br /> f z� �� <br /> iS' amre of Own Y/Contractor/Authonzed Agent Date <br />