Laserfiche WebLink
P�KMIT APPLICATI(�iv <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT,','VA 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 />�P/ERMI;T� # <br />'1 �/ V.� �.�� <br />TENANT NAME CONTACT FOR PERMIT PHONE /��� �yU I, <br />/,'�/k£ /'u �6 Y 36� -� SZ - ?z zz °-� <br />CONTRACTOR �7AL�, �r CQ�JST;ucTaJ ADDRESS/�3L/ ��n �� � CITY2IP PHONE <br />5�? S -87a - /y�!�v <br />CONTR. LICENSE N <br />/��ce yc e� <br />USE OF BUILDING <br />1. K�D <br />WORK DESCRIPTION <br />HEP.i SOURCE <br />_ Elec!ric � Gas _ Other <br />NEw /'CU��l���K FiXT��.ts /� <br />fJ Fl.i K/ T�ircN S/��k /�� r,�� % <br />NO. I TYPE OF FIXTURE OR ITEA7 <br />Toilel <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />\Naler heater <br />Sink (servire/bar/mop/elc.) <br />Backllow preventer <br />Urinal <br />Drinkinc� Pounlain <br />Floor drain <br />Grease trap <br />Root drains <br />Other _ _ <br />CONTRACT PRICE OF WORK <br />� /ct � `'° <br />��'TN2OG�'i , <br />Np, I TYPE OF FIXTURE OR ITEM <br />h�C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ranc�e <br />Clothes drycr <br />Range hood <br />� Exhaust (an <br />Heal pump <br />Unit heater <br />8oiler <br />Refrigeration <br />Woodstova <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y Ihal I have read and examined this application and know ihe same to be true and correcL All provisions of laws and <br />ordinaces governing this rype of work will be complied with �vhether specified herein or not. The granting �f a permit does not presume <br />to give aulhority lo violale or cancel the provision of any other stale or Iocal law regulaling conslruclion or the perlortnance of <br />consiruclion. Thal I am aulhorized by the owner ot lhis property to perform Ihe work fer which applicalion is made and I comply wilh the <br />Statc Conlraclors Law 18.27 RCW and 2�6.200 WAC. <br />�,� .`7 �ti�..(� 3 • 2 3 - a '? <br />