Laserfiche WebLink
PERMIT APPLICATI�N <br />CITY OF EVERETT 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 8 AM TO 4 PM �-- I��O � <br />SITE ADDRES� � � _ PARCEL TAX I.D. # PERMIT # <br />/� r phI r� <br />���" S Slh f`i� � �11 �(2..L7 I pc��1��L40�� cG 2_ti ��DVV7 �WL <br />LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION # /� <br />DESC. Z �'7� SC. t l7 r� Y'c � l� I 1 I �� <br />OWNER ADDRESS CITY/ZIP PHONE <br />�_ M A ��� �� � S�-z y- i c 4- �,i, s i s�..: r� u� i �. � E:. 4- z. i-� i � �' i 33 <br />TENANT NAME 1 CONTACT FOR PERMIT PHONE <br />N1 �� � . M �1 1'�13 A (` _ _ E-MAIL _ ._.._ <br />CONTR. LICEhSE �i <br />USE OF BUILDING <br />HEATSOURCE <br />I_ Electric __ Gas _ Other I <br />WORK DESCRIPTION <br />�'�Lr, � ���� <br />-1(�I�JS " �FGNArJI� A l� <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilet <br />BaliiWb <br />�_ Lavalory (wash basin) <br />Shower <br />� Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/badmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />�_ Roo( drains <br />Olher <br />CONTRACT PRICE OF WORK <br />II.HL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />W ater heater <br />Gas (ireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />� Exhaust fan <br />Heal pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COD6 IS 5105 <br />I hereby ceriti(y that I have read and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinaces goveming Ihis rype of work will be complied wilh �vhether speci(ied herein or not. The granting ot a oermit does not presume <br />to give aulhorily to violate or cancel Ihe provision of any olher slate or local law regulating construction or the performance of <br />conslruction. Tha� I am a thorized by the ovrner o( this properiy to periorm lhe work (or which applicalion is made and I comply with the <br />State Contraclors Law 18�27 RCW and 29620(j WAC. � <br />