Laserfiche WebLink
SITE ADDRESS <br />sr <br />L�' ; — —� _ <br />LEGAL LOTNO. <br />NAME <br />CONTR. LICENSE # <br />USE OF BUILDING <br />{� <br />PERMIT APpLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3�00 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 TAX I.D. # <br />BLOCK TRACT OR SUBDIVISION # <br />�� sY <br />CONTACT FOR PERMIT <br />HEATSOURCE <br />Electric XGas _ Olher <br />WORK DESCRIPTION • '' <br />� - ��,,;�� {���(; �a,u�/� G ✓9 fl.�' FrPNrf'i� <br />!'�v � � ���C C_, (7 �; <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clo�hes washer <br />Water �eater <br />Sink (service/bar/mopletc.) <br />Backilow prevem.:r <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />i_a�--�� <br />PERMIT # <br />��C7��- <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FU(TURE OR ITEM <br />AI(; — air handling units <br />Forced air systems <br />_� Gas piping <br />�_ Waler heater <br />Gas fireplace <br />Gas renge <br />Clothes dryer <br />Range hood <br />Eahaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF eVERETT LOCAL �ALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined lhis applicalion and know ihe same to be irue and correct. AII provisions of laws and <br />ordinances governing lhis type of wor'. will be complied w�!h whelher specified herein or not. The granting of a permi; does not presume <br />lo give authoriry lo v�late or cance� lhe provision of any other state or local law regulaling conslruclion or lhe performance of <br />construaion. That.l am authorized by the owner of this propeAy to pertorm the work for which application is made and I comply with the <br />Slale Contractors Law 18.27 RCW and 296.200 WAC. <br />' -= � /�'ol`%- <br />�__. _ �-- .. <br />