3427 NASSAU ST 2018-01-02 MF Import

PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 — FAX 425-257-8857 — www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM SITE ADDRESS PARCEL TAX I.D. # RMIT # LEGA LOT NO. BLOCK TRACT OR SUBDIVISION # DESC. OWNER ADDRESS CITY/ZIP PHONE TENANT NAME I CONTACT FOR PERMIT PHONE E-MAIL ADDR Ste— CITYIZIP CONTR. LICENSE # A USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK Electric _ Gas _ Other I ON WORK DESCRIPTI;55(� PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM TYPE OF FIXTURE OR ITEM Toilet A/C - air handling units _ Bathtub rNO. Forced air systems _ Lavatory (wash basin) Gas piping _ Shower Water heater _ Kitchen sink & disposal Gas fireplace _ _ Dishwasher Gas range Clothes dryer _ Clothes washer _ Range hood _ Water heater Sink (service/bar/rnop/etc.) Exhaust fan _ Backflow prevenler _ Heat pump _ Urinal �//'' _ Unit heater Boiler Drinking Fountain t� T'�� _ Floor drain _ Refrigeration Grease trap __ Woodstove _ Roof drains __ Other Other -- - CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other slate or local law regulating construction or the performance of 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 State Contractors Law 18.27 RCW and 296.200 WAC. i --/_� q Zj-entraclor/Aulhonzed nature of Owner/CAgent Dale U/ I