Laserfiche WebLink
APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 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 />SITE ADDRESS <br />PARCEL TAX I.D. # <br />P,J`RMIT # <br />LEGAL LOT NO. BLOCK TRACTOR SUBDIVISION # <br />DESC. <br />OWNER ADDRESS CITYIZIP PHONE - 2-!�) <br />TENANT NAME <br />CONTACT FOR PERMI PHONE <br />EMAIL <br />ONTRACT ADDRESS I / P <br />�/��ri'�0cs-3-��9 <br />CONTR. LICENSE # 7 p� <br />c—F tL, 2l7 <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OFWORK <br />Other <br />_Electric _Gas _ <br />WORK DESCRIPTION ?/y-� <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM17 <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />A/C —air handling units <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />Water heater <br />_ <br />Kitchen sink & disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />Water healer <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />Exhaust fan <br />Backllow prevenler <br />Heal pump <br />Urinal <br />Unit heater <br />_ <br />_ <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />_ <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other�il/�� <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that 1 have road and examined this application and know the same to be True and correct. All provisions of laws and <br />ordinates governing this typo of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other stale or local law regulating construction or the performance of <br />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 <br />S/ta�Cw�r t(/ac�tors Law 18�.27 RCW and 298.200 WAC. <br />'8ignalure of Owner/Contractor/Authorized Agent Date <br />s <br />PERMIT <br />