Laserfiche WebLink
SITE ADDRESS <br />LOT N0. <br />TENANTNAME <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PERMIT APPLICATION <br />CITY OF EVERETi 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 & AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK TRACT OR SUBDIVISION # <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal . <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sirk (service/bar/mop/etc.) <br />BackFlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Ofher <br />CONTAf,T FOR PERMIT <br />HEAT SOI�R�E <br />Electric _ Gas <br />Olher <br />PERMIT # <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />� Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerlify thal I have read and examined fhis applicalion and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type cd work v✓ill be complied vrith whethe:r specified herein or not. The grenting of a permit does nol presume <br />to give authority to violale or cancel the provision of any other slate or local law regulating consiruction or the performance of <br />construction. That I am authorized by lhe owner of this properly to perform the work for v�hich application is made and I comply with the <br />Stat� Contractors Law 18.27 RGW and 296.200 WAC. <br />Signalure of OwnedConiraclor/Authorized Agent Dale <br />