Laserfiche WebLink
P�.�MIT APPLICATIG�J �� _-�u-v�{ <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 />�//-«� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS AR NOT ACCE?T'ED <br />SITE ADDRESS <br />%LEGAL LOT NO. <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />I.avatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink ;service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />TRACT <br />COVTACT FOR PERMIT <br />ADDRE£S <br />HEATSOURCE <br />Eiectric Gas Other <br />PHONE <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />�VC — air handling units <br />F�rced 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 <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES SAX CODE IS 3105 <br />;� hereby ceritify that I have read and examined this application and know the same lo be true and correct. All provisions of laws and <br />ordinaces geverning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violaN or cancel the provision of any other state or local law regulating consWction 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 Law 1827 f�C tl�and 296.200 WAC. <br />�� <br />