Laserfiche WebLink
tRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />Loj Z o 31 SG GVLI'zb'fj MAtt,w4V200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 —FAX 425-257-8857 — vyWW.everettwa.org <br />� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS 5) S'C •�%Ut�J`� (T L�DI,C u <br />- PARCEL TAX I.D. # <br />PERMIT # <br />LEGAL LOT NO. BLOCK TRACTOR SUBDIVISION # <br />OESC. <br />ADDRESS CITYIZIP PHONE //J j�-(7�f <br />OWNER <br />IL �2L <br />ANT NAME CONTACT FOR PERMIT PHONE. <br />�;�V)L..� E-MAILC�1N .� <br />R �� HONE 1 <br />CONTR LICENSE # -(' �-{-1 <br />1 }}// <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />_X' Z <br />_Electric _Gas _Other <br />WORK D�C TION l S � —� ItM� �j ���(,t �• � 'J', a JV , <br />i��Sr�n{c-fit "(G �iLSTA ��Jz�->„-� <br />pp <br />r� li j� I`�L�� q)�-r(7(il� I i"LVl�Ii'IIJC- <br />6 PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />A/C -air handling units <br />Bathtub <br />Forced air systems <br />_ <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />Water heater <br />_ <br />Shower <br />Kitchen sink 8 disposal <br />Gas fireplace <br />_ <br />_ <br />Dishwasher <br />Gas range <br />Clothes dryer <br />_ <br />Clothes washer <br />Water heater <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />Exhaust ion <br />_ <br />_ <br />Backflow prevenler <br />Heat pump <br />Unit healer <br />_ <br />Urinal <br />Drinking Fountain <br />Boiler <br />_ <br />Floor drain <br />Refrigeration <br />_ <br />_ <br />Grease trap <br />Woodslove <br />Other <br />Roof drains <br />_ <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerilify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />'6lalor local law regulating construction or the performance of <br />to give aulhority,lo cancetiheTrovision of any other state or <br />consUuclion. Tjiat I aut(iorized by the owner ojlitirproperty to perform a work for which application is made and I comply with the <br />State Contractors Law 8.2 �RCW and 296200" AC. <br />Signature of Owner omtractorlA the d Agent ale <br />a <br />