Laserfiche WebLink
P�r2MIT APPLI�.ATIOnI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 � <br />425-257 •8810 — FAX 425-257-8857 — ww�n�.everettwa.org r.z� �y� ...p <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT $ CREDIT CARDS ARE NOT ACCEPTED <br />SITOiDDRESS �,� � � <br />LEGAL LOT NO. BLOCK <br />DESC. � � � �] ) p <br />TENANT NAME <br />NI�- <br />CONTRACTOR <br />CONTR. LICENSE # <br />TRAC'i <br />USE OP BUILDING <br />FL, � �-.�,�4 \ <br />PARCEL'AX I.D. # P RMIT # <br />-l3? ��'7 �'ol�'JO yia -o�� <br />� 2� , 124�� '�,r. ,�ec��{-��� ��, �`Lp�"/l, <br />i CITY2IP PHONE <br />K Zr- <br />! ���3 %e�ie�e /%-� S•nkn�.� �� `„'4 - Yz2 -� <br />ICONTACT FOR PERMIT <br />��� �� <br />ADDRESS <br />HEATSOURCE <br />_ Electnc _ Gas _ <br />C�TY21P <br />PHONE <br />�z5 -4az -7�so <br />PHONE <br />CONTRACT PRICE OF WORK <br />Other � �2 �6� <br />WORK DESCRIPTION <br />N�,�, �� �-�, �-zZ ✓�q�,�.�-, ,�a�z Q��.��.�, <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilet <br />� Bathlub <br />J_ Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Cbthes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />M'cCHANICAL <br />TYPE OF FIXTURE OR ITEM <br />Al : — air handling units <br />Forced air systems <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 />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereb� ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this rype of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance uf <br />construction. That I am authorized by the owner of this property to perform the work. for which application is made and I wmply with the <br />State Contractors Law 18.27 RCW �d 296.2001��AC. <br />1 <br />