Laserfiche WebLink
P�RMIT APPLICATIC,N <br />CITY OF FVERETT PERMIT SERVICES <br />32u0 CEDAR STREFT, 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 <br />'�? (: �t <br />LEGA LOT NO. <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />1) 6�/�.�tCv 4 C E�.tE'il �iJ I�...� ��l � l'4(.it✓f l7� 1� <br />TENANTNAME � CONTACTFORPERMIT PHONE <br />!-� v`1 /i�.,� <br />�% <br />� <br />r�l,�$�..P ��A,un.r; �Fu6Et.( - nooRe/s�s^ �`�I <br />I�14 y�i�+� �Q�'��i"W Q1 <br />CONTR.LICENSE# A�S��+` ^� <br />USE OF BUILDING <br />� <br />HEATSOURCE <br />_ Eiectric _ Gas _ Other <br />.2 �3 -��S - Sc,� <br />CITY2IP PHONE <br />Pa�.r dnu+�,.� 3no -8, �- 4 N�`t <br />CONTRACT PRICE OF WORI: <br />y�� (:7/v <br />WORK DESCRIPTION <br />2�P'-�-i: �,4.5.—i�c s�o�l +=t�J,ti��.� a i iv�-,�j.�. wri( ��o; <br />NO. � 1YPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (�ervice/bar/mop/etc.) <br />_� Backilow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE GF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration Cu ,U gE,�sv n <br />Woodstave <br />Olher <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 7105 <br />� hereby ceritify that I have read and examined this 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 spPcified herein or noL The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construcUon or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors L,aw 18.?� RCW and 286.200 WAC. <br />