Laserfiche WebLink
SITE ADDRESS <br />vJ�� <br />LEGAL LOT NO <br />DESC. <br />OWNER <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE # <br />PEB�MIT APPLlCATION <br />CITY OF EVERETT �ERMIT SERVICES <br />3'L00 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 <br />PARCEL TAX I.D. # <br />BLOCK � TRACT <br />CONTACT�ORPERMIT <br />ADDRESS <br />USE OF BUIL�ING HEAT SOURCE <br />Electric Gas Other <br />WORK �ESCRIPTIODt� • <br />1,�.�a��c�I � s� ��.%-��5� <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatury (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Cloihes washer <br />W ater heater <br />Sink (service/bar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />a � aa -0 7 <br /># <br />PHONE <br />CIN21P PHONE <br />I CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC — air handling unils <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range I�ood <br />Exhaustfan <br />Heat pumn <br />Unit heai..r <br />Bciler <br />Refrigeration <br />Woodstove <br />CIN CF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby ceritify lhat I have read and examined this applicalion and know lhe same to be true and correcL All provisions of laws and <br />ordinaces goveming this rypo of work will be complied with whether specified herein or not. The granting of a permil does not presume <br />to give authority to violate or cancel the provision of any olher state or local law regulaling consWction or the per(ormance of <br />conslruclion. That I am authorized by the owner of this property to perform the work (or which application is made and I comply wilh the <br />