Laserfiche WebLink
PERMIT 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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />So5 Sc �v���-� « ��'� Zd � S I� va 7��-I � U 0 ;%I/I C�'0� S v <br />LOT NO, I BLOCK � TRACT <br />t3fou� U�ze,kY.eeu.c f�aplM.��ns�• f�lk�.����- ���� <br />TENANiNAME CONTACTFORPERMIT PHO�E <br />S(�i � i-- - _ �PU iavv� -7,�c�—�3_ 1��tGt <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION '/ <br />al% � INOY!G� G Y I I.P J�'o� yj�+�(.t/ j � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry lray <br />Sink (service/badmop/etcJ <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />S, �-J[il S{• CITY/ZIP PHONE <br />2oG-lU1-�7�1`� <br />HEATSOURCE <br />Electric Gas Other <br />CONTRACT PR�CE OF WORK <br />/�. UUU_ `� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby cer'tify tt�at I have read and examined this application and know lhe same to be true and correct. All provisions of laws and <br />ordinaces verning ihis type of work will be complied with whether specified herein or not. The granting of a permil does not presume <br />to give aut rity lo violate or cancel the provision of any other state or Iocai law regulating construction or the performance of <br />constructi . That I�(�! authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Co actors L��Ii1R827 RCW and 296200 WAC. <br />7, N /O �- <br />