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. # <br />PERMIT # <br />9si se4h <br />)0>0��06?0D �LK,I <br />�'oc�o� aL/� <br />r <br />mre <br />LEGAL LOT NO. <br />BLOCK TRACT <br />DESC <br />OWNER <br />ADDRESS CITY1ZIP PHONE <br />KaJAlACW a. ,�e;�°i� �r, II eo"hLIr*T Jkvp ryrre ++ 425-879-'Sss� <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />CONTRACTOR <br />ADDRESS CITY/ZIP PHONE <br />CONTR. LICENSE x <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Electnci Gas Other <br />_ _ <br />_RES. <br />WORK DESCRIPTION <br />i m�)/( <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE <br />OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />7- <br />Toilet <br />_ <br />A/C- air handling units <br />Bathtub <br />_ <br />Forced air systems <br />7-Lavatory <br />(wash basin) <br />Gas piping <br />Shower <br />Water heater <br />Kitchen sink 8 disposal <br />Gas fireplace `? ) <br />_ <br />Dishwasher <br />Gas range <br />Clothes washer <br />Clothes dryer <br />Laundry tray <br />i <br />Range hood <br />Sink (servicePoar/mopletc.) <br />Exhaust fan <br />_ <br />Backfiowpreventer <br />_ <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 />_ <br />Roof drains <br />Other <br />Other <br />_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby centify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces 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 <br />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 Law� 18.2RC�W and C. <br />�Contractors <br />�7 <br />-- s,-Dale o <br />SIg,jattiOontractor/Authonz '( <br />L <br />