Laserfiche WebLink
�cRMIT APPLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-885' — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />7p � , ��� S. l�f/ <br />IEGAL LO? NO. BLO:K <br />DESC. <br />OWNER � � , � <br />t <br />A r � h RL ��'` --- <br />TENANT N E <br />Q <br />CONTR. LICENSE N �,�e m <br />US OF BUILDING <br />��s-��,��, � � <br />WORK DESCRIPTION <br />� <br />;,,c <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory !wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Uishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/elc.) <br />Back(low prevenler <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION N <br />�o� si's� s�. s', <br />�CONTACT OR PERMIT <br />Qo,aa�� ��i✓1��P1R <br />HEAT SOURCE <br />✓Electric _ Gas _ Other <br />vcm <br />US/e� <br />PHONE <br />PERMIT # <br />CONTRACT PRICE OF WORK <br />OU <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ranqe <br />Clathes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 9105 <br />I hereby ceriti(y that I have read and examined this application and know tho same to be true and correcl. All provisions of laws and <br />ordinaces c�overning this lype of work will be complied with whelher specified herein or not. The granting oi a permit does not presume <br />lo give authorily to viola�e or cancel the provision of any olher slate or local law regulaUng consiruction or the pedortnance of <br />conslruction. That I am authorized by lhe owner of lhis properly to pertorm the work tor which applicatlon is made and I comply wilh the <br />Slale Gaclor �law 18.27 RCW and 296.200 WAC. <br />. �'/� _ �'/�?/� 9 <br />