Laserfiche WebLink
SITE ADDRESS � <br />� �� <br />LEGA LOTNO. <br />DESC. <br />OWNER <br />7 <br />Ca-�� v � <br />TENANT� <br />CONTRACTOR <br />CONTR. LICENSE # <br />Pe,:MIT APPLICATIOh <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 />� �n <br />BLOCK <br />� ��2 :a � ��_ <br />US[ OF BUILDING <br />S J-''iC_. <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />TRACT <br />ADDRESS CITY2IP <br />Ja M c <br />CONTACTFOR PERM�T <br />ADORESS CITYIZIP <br />HEATSOURCE <br />Electric Gas Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry lray <br />Sink (service/bar/mop/etc.) <br />Back(low prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greasc lrap <br />Roo( drains <br />OU�cr <br />/� _��-os <br />PERMIT N <br />Mo5\U- � � <br />PHONE <br />PHONE <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Healpump <br />Unit heater <br />Boiler <br />ReFrigeration <br />Woods�ove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1705 <br />1 hereby cerilify that I have read and examined lhis application and know the same to be We and correct. All provisions o( �aws and <br />ordinaces governing thi type of work will be complied wilh whether specified herein or nol. The granting of a permit does not presume <br />to give aulhonty to viola�e or canccl the provision of any olher slate or local law regulating consWction or the peAormance oi <br />consiruction. That I am aulhorized by lhe owner of lhis property to pertorm the work tor which application is made and I comply with lhe <br />Slale Contraclors law 1�127 RCW and 296.200 WAC. <br />I <br />=— � �.:' � �1��%� J <br />