Laserfiche WebLink
PERMIT 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. A <br />PERpl1T r�' �� <br />1L/Y/ <br />0 1 <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS CITYMP PHONE <br />�•T Q 9�II3 &2)) <br />TENANT NAME 1 <br />CONTACT FOR PERMIT PHONE <br />/ <br />CONTRACTOR ADDRESS k CITYZP PHONE <br />SkA>vs U3� 8y. � Sal YnGrP4F A)•1c16 v«0 SiceFll�, 9d'lo� <br />CONTR. LICENSE 0 <br />USE OF BUILDING <br />HEAT SOURCE�CONTRACT <br />PRICE OF WORK <br />A41 goZ3 <br />Electric —Gas Other <br />WORK ESCRIPTION <br />ter <br />PLUMBING <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />Toilet <br />__ <br />A/C — airhandlingunits <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />_ <br />Snower <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 />Laundry tray <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />Exhaust fan <br />_ <br />Backgow preventer <br />Heat pump <br />_ <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />_ <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />Roof drains <br />Other_ <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 0105 <br />1 hereby ceritify ME' I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type 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 state or local law regulating construction or the performance of <br />construction Th9t I ani a homed by the o ner of this property to perform the work for which application is made and I comply with the <br />State Co aGors r 2277 RCW and 29 .200 WAC. <br />/0`7 OCR <br />igna re o Ow er/Contractor ad Agent ate I�Z <br />