Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-d857 — www everettwa org <br />?� �l�' . . . �l-1/`-0� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />NO. <br />TENANT <br />PARCEL TAX I.D. X <br />.._ .� _ .._�— <br />f-OR PERMIT <br />S/ <br />PHONE <br />CONTRACTOR ADDRESS I / CITY2IP PHONE <br />�oNrd.��oEn�a' ��x� C'twi�����-,.t I�i'�r�.• �.{,�/ �v�fff cjd'1/ 3 - `/� r -,�3y�SD2 <br />USE OF <br />WORK DESCRIPTION <br />l3v,'/� � <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Eleciric _ Gas _ Olher �Q�i �/' <br />�1�7r ..>l1l't/I�7L' � �l,U/ �%zZ/I-Lu <br />NO. I TYPE OF FI%TURE OR ITEM <br />� Toilet <br />j� Balhtub <br />�Lavalory (wash basin) <br />Shower <br />� Kitchen sink & disposal <br />�_ Dishwasher <br />,� Clothes washer <br />_ Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinkina Fountain <br />Floor drain <br />Grease trap <br />_I Roofdrains <br />Other <br />�-.CHANICAL <br />N0. I T'� FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhausl tan <br />Heatpump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE 15.�05 <br />I hereby ceritify ihal I have read and ezamined this application and know lhe same to be lrue and correct. All provisions of laws and <br />ordmaces goveming Ihis type ol woik will be complied with whether speciGed herein or noL The granting of a pennit does not presume <br />�o give au}pw to violate or cancel the provision of any other stale or local law regulaling constmction or the peAormance of <br />construc6on Th l�am authorize�lby ihe owner of this propetly to pedo�m lh work for which application is made and I comply wlh the <br />State Co�tracl w�}� 7 RGdJ and 29G200 WAC. <br />� l/l� l� 7�, h <br />�� <br />� = �. �.-' `j � <br />`� <br />