Laserfiche WebLink
i <br />; <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEL)AR 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 />SITE ADDRESS PARCEL TAX I.D. N <br />1.��1 No� ��lx �� �° �s3�9(�.�o�i90 <br />LOT �. I BLOCK � I �� T OR SUBODIV�ISION3 �_ O <br />J ! d_ <br />��—��I <br />P�RMIT / <br />1 ..- �- C <br />�i1 S � � �8 � <br />�'Fl ve � S 1�,,; �; N l�' � y I-�w 4)q-2.e �� ��.a�.fl tvA 9$� o� <br />TENANT NAME � CONTACT FOR PERMIT PHONE <br />' . I ' � � ' E�MNL' • � `'• �" <br />� �.f/ lti.(i(/ � : . . . <br />CONTR. LICENSE N <br />USE OF BUILDING <br />WORK DESCRIPTION <br />N0. I TYPE OF FIXTURE OR ITEM <br />�— <br />Toilet �� � <br />Bathtub �'� <br />Lavalory (wash basin) � � � � \ <br />Shower 11 <br />Kitchen sink & disposal <br />Dishwashcr <br />Clothes washer � <br />Water heater <br />Sink (service/bar/mop/etc.) <br />8ack0ow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher <br />. , . ,t, <br />HEATSOURCE <br />__ Electric �as� Othv <br />�A S�c, �o�� <br />NO. I <br />� <br />CONTRACT PRICE OF WORK <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems � <br />Gas piping <br />Water healer � <br />Gas fireplace 1 � <br />Gas range <br />Clothes dryer � <br />Range hood <br />Exhaust (an �� 1 � I <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT I.00AL SALES TAX CODE IS 3105 <br />I hereby ceritiFy Ihat I have read and oxamined lhis applicalion and know Ihe same lo be lrue and correcL All provisions of laws anJ <br />ordinaces goveming Ihis type o( work will bo complied with whether specified herein or not. The granling of a permil does not presume <br />W�ive au�hority to vioiate or cancel the provision of any olher state or Iocai law regutaling wnstruclion or the peAormance of <br />consUuclion. Thal�l, am autl d by the owner of t' opeAy to peAorm the work for which application is made and I comply with the <br />Stale Conlractor RCW and 296. AC. <br />c <br />/� <br />