Laserfiche WebLink
P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <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 PARCEL TAX I.D.# PERMIT# <br /> v2�L� G✓2 mcY � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITYIZIP PflONF.l�)��T47,-:�4j O <br /> YL <br /> S��n SU',�� /T�h���, !��� �r"��u�.�� �is i�'S� Si-���/� Ca r.�,u�A cv� 5��:' <br /> TENANT NAME ' CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS CITY2IP Pf10NE <br /> CONTR.LICENSE N . <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK I <br /> I _Electric _Gas_Glher <br /> WCORyK DESCRIPTION <br /> .�/ � � �u�� <br /> PLUMBING MECHANICAL <br /> NJ. TYPE OF FIXTURE OR ITEM NO, iVPE OF FIXTURE OR ITEM <br /> Toilet _ NC–air handling units <br /> Bathtub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clothes washer _ Clothes dryer <br /> Waler heater Range hood <br /> Sink(service/bar/mop/elc.) _ Exhausl fan <br /> Back(low preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinkinc� Fountain _ Boiler <br /> Floor drain _ Refrigeralion <br /> Grease trap _ Woodsrove <br /> Root drains _ Other <br /> Gther — <br /> CITY OF EVERETT I.00AL SALES TA%CODE IS J105 <br /> I hereby ceritify lhal I have read and examined this application and know the same lo be lrue and correcL All provisions of laws and <br /> ordinaces c�overninc�this lype of work will be complied with whether speciSed herein or not.The grentir,3 of a pertnil does nol presume <br /> lo r7ive authonty lo violale or cancel the provision ot any other stale or local law regulating construction or lhe periormance of <br /> construction.Thal I am aulhorized by.he owner of Ihis property lo perform the work for which application is made and I comp�y with Ihe <br /> StalP�onlraclors Law 18.27 RCW and 296.200 WAC. <br /> —� � t�� <br /> Sig W o O e�Cool ctor/Author¢ed Agen� Oate <br />