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. ri <br />PERMIT # <br />LOT NO. <br />DLOC�K, <br />TRACTOR SUBDIVISION t! <br />DESCL <br />7 <br />OWNER ADDRESS CITY2lP PHONE <br />h <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE 1/751--�'�-U, �(Z/ <br />J <br />r�C%'^ .-'AU/� •CSC <br />CONTRACTOR r ADDRESS CI Y/ZIP PHONE <br />-�c. PM B *C? 62t 5K � n/9 i.K Sfc'.u15 v5125sS V5 -z 35l Yai <br />CONTR. LICENSE ti <br />USE OF BUILDING HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Gas Other <br />I <br />Electric <br />WORK DESCRIPTION <br />r 11 rr <br />Oleyry� <br />PLUINBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE :1R ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />A/C —air handling units <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />_ <br />Shower <br />Water heater <br />_ <br />Kitchen sink &disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />_Gas <br />range <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />Water heater <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />_ <br />Exhaust tan <br />_ <br />Backgow preventer <br />_Heat <br />pump <br />_ <br />Urinal <br />Unit heater <br />Drinking Fountain <br />Boiler <br />_ <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Wuodstove <br />Roof drains <br />_Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and examined This application and know the same to be true and correct. All provisions of laws and <br />ardinaces 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. 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 />State Contra Is I -a 8.27 RCW and 296.200 W.4C. <br />5 re of Ownb /ConlractodAuthorized Agent Dale y <br />y� <br />