Laserfiche WebLink
P�:RMI�' APPLICATIGN <br />CITY OF EVERETT PERPJIIT SERVICES <br />3200 CEDAR STRtET, E\/ERE7T, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />TENAN�—��a"�L <br />�//1� �T <br />CONTRACTOR <br />CONTR. LICENSE #��� <br />� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />^/ PARCEL TAX I.D. # <br />u � <br />BLOCK TRACT <br />ADDRESS CITY2IP <br />i l%?fl. jl !'' /.� C' <br />C NTACT FOR PERM <br />/61�" � /%�� °� I"llll ' <br />/1DDR[SS CITY2IP <br />NO � TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />I<itchen sink & disposal <br />Dishwasher <br />Clothes w�sher <br />Laundry tray <br />Sink (service/badmop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease trap <br />Root drains <br />Other <br />�� <br />%✓�t� <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />���iii c �Q <br />NO. � TYPE OF FIXTURE OR ITE'a1 <br />A/G — au hantlliny units <br />Forced air systems <br />Gas pipin� <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat p��mp <br />Unit haater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVCRETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby ceritify thal I have read and examined this applicalion and know the same lo be lrue and certecl. All provisions of laws and <br />ordinaces goveming this type of work will be complied with whelher specified herein or not. The gra�nting of a permi: does not presume <br />to give authority to violate or cancel the provision of any other stale or local law regulaling consWclion or the performance of <br />conslruction. That I am aulho)r'ted by lhe owner of lhis property to pedorm the work for which appl'cation is made and I compty with tha <br />State Cpnyaclors I�s4 18.27(E2�W and 296200 WAC. � i <br />