Laserfiche WebLink
ADDRESS <br />l0T NO. <br />UESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, 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 I TRACT OR SUBDIVISION 8 <br />l2�/0�/� <br />PERMIT # <br />_ (.�.� LU12 -Ut� 1 <br />.Jv �� �2lG I�OF�( (r 1 �63 r�� �n� �� // ,`i:.� �l2RF^- �^'�A %6�c�/ <br />TENANT NAME � CONTACT FOR PERMIT PHONE �/2 r- j��- � p ys <br />�— <br />CONTR. LICENSE # � <br />USE OF BUILDING , <br />�--�rz.�L--� / <br />WORK DESCRIPTION <br />5•inP✓i r_-/= <br />— HEAT SOURCE I CONTRACT PRICE OF woRK <br />Electric _ Gas _ Other <br />��Eco,Nj�TRUG'T � �'LFCT2/lrf� � %�[v�/3/iV� <br />2 FP,, �n F�.�.. ,�'ti.Mf �- Jr,�, 5 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwaslier <br />Clothes washer <br />Waler heater <br />Sink (service/badmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />Olher — <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify thal I have read and examined Ihis application and know �he same to be true and correcL All provisions oi laws and <br />ordinances goveming this type of work will be compiied with wh�alher specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel lhe provision of any other stale or local law regulating consWction or the performance of <br />conslruction. That I am authorized by Ihe owner of this property 1� periorm the work for which application is made and I comply with �he <br />Slate Contraclors Law 18.27 RCW and 296.200 WAC. <br />7 <br />