Laserfiche WebLink
SITE ADDRESS <br />DESC. <br />PERMIT APPLICATION <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 />APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />, . � �� ��� �E I I nl �q � •�'n <br />LOT NO. BLOCK TRACT <br />1 �y, `�CxAi� Ln.izP �� <br />AQ�RESS <br />. . 1$iloS•c..lz,.5�z.1cv15 �o�• <br />CONTRACI'OR <br />CON�RILICENSE #' <br />USE OF BUILDING <br />WORK DESCRIPTION <br />' � .I <br />�.�. � i �. . _ <br />> <br />i <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilet <br />�Bathtub <br />Lavatory (wash basin) <br />_f_ Shower <br />�Kitchen sink & disposal <br />Dishwasher <br />I Cbthes washer <br />Laundry tray <br />Sink (service/bar'mop/etc.) <br />BackFlow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Otlier <br />CONTACT FOR PERMIT <br />ApDRESS <br />r�.5{e,se�s <br />9b'Z6Y � <br />PHONE <br />CITY2IP <br />. . . 3 . <br />HEATSOURCE <br />Electric �Gas _ Olher <br />PHONE <br />�� . <br />CONTRACT PRIGE ur wunn <br />N0. I TYPE OF FIXTU�tE OR ITEM <br />A/C - air handling units <br />� Forced air systems <br />� Gas oiping <br />� Water heater <br />� G2s freplace <br />� Gas range <br />� Clothes dryer <br />� Range hood <br />� cxhaust fari <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I hereby ceritiy that I have read and examined this appliration and know the same lo be true and corcect. All provisions of laws and <br />ordinaces goveminc� this type of work will be complied wilh whether specif ed 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 of <br />con,truction. That I am aulhorized by the owner of this property to perform the work for which application is made and I compty with the <br />State Con ctors Law 182Z RCW and 2�9 .200 WAC. <br />� `� . � � l "1 /L'S�-iik-, ; J �9 �i> � <br />��L <br />