Laserfiche WebLink
SITE ADDRESS� <br />o.% �/ <br />LEGA LOT NO. <br />DESC. <br />OWNE� <br />iENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE p <br />USE OF BUILDING <br />1$rRMIT APPLICATIUN <br />CITY OF EVEFtETT 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 />PARCEL TAl( I.D. �1 <br />BLOCK I TRACT <br />' CONTACT FOR PERMIT <br />ADDRESS <br />HEATSOURCE <br />_ Eleclric _ Gas <br />WORK DESCRIPTION ) <br />���%%C���✓ ����X� <br />NO. � TYPE OF FIXTJRF OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />W aler healer <br />Sink (servic2/bar/mop/etc.) <br />6ackflow preven�er <br />Urinal <br />�rinking FouNain <br />Floor drain <br />Grease trap <br />Rool drains <br />Olher ____ <br />(-a�-0� <br />PERMIT 1� <br />PHONE <br />CITY2IP PHONE <br />CONTRACT PRICE OF WORK <br />Olher <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air hand�ing unils <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas tireplacc <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhauslian <br />Heat pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY JF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify thal I have read and examined this application and know the same �o be true and correct. All provisions of laws and <br />ordinaces governing this type o( work will be complied with whether specified herein or noL The granting ot a permit does not presume <br />to give aulhoriry to violale or cancel the provision of any olher slate or local law regulating consiruction or ihe pedormance of <br />consiruc�tion. That I am aulhorized by lhe owner o( �his property lo peAorm lhe work tor which appiication is made and I comply v.ith the <br />Statd Cohtractors Law 18.2� RCW and 29§.200 \NAC. <br />r <br />