3010 21ST ST 2018-01-02 MF Import

PEE, MIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 — FAX 425-257-8857 — www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED SITE ADDRESS Sr PARCEL TAX I.D. # PERMIT # o/,�,-oo, -roo5" I Qd/o�-ad LEGA LOT NO. BLOCK TRACT DESC. ^--••— ..n uur rnune w-! 0 f q L.� 3 o/O zI J 11/Q 7s ta/ S9. 9'o TENANTNAME I CONTACT FOR PERMIT PHONE CONTRACTOR ADDRESS CITYIZIP PHONE CONTR. LICENSE # USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK Electric Gas Other WORK DESCRIPTION &Z/Y�Sc'L/,TE /C�� NO. I TYPE OF FIXTURE OR ITEM _ Toilet _ Bathtub _ Lavatory (wash basin) _ Shower _ Kitchen sink & disposal _ Dishwasher _ Clothes washer _ Laundry tray _ Sink (s�, Ace/bar/mop/etc.) _ Backflow preventer _Urinal _ Drinking Fountain _ Floor drain _ Grease trap _ Roof drains Cther NO. I TYPE OF FIXTURE OR ITEM _ we - air nandling units _ Forced air systems _ Gas piping _ Water heater _ Gas fireplace _ Gas range _ Clothes dryer _ Range hood _ Exhaust fan Heat pump Unit heater Boiler Refrigeration _ Woodstove Other CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC.