Laserfiche WebLink
S�jITE ADDR/ESS <br />-I ��lL� ' ,c <br />LEGAL LOT N0. <br />DESC. il <br />� L <br />CONTRACTORS (� <br />CK�]:ii:7��[y�:F9�3 <br />USE OF BUILDING <br />WORK DESCRIPTION <br />a��� <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />U�'�� '� PARCEL TAX I.D. # <br />i � <br />BLOCK TRACT <br />ID U <br />ADDRESS <br />181c�S•L�•S� � <br />�1 Ir�C • ',?,�•-�aoU <br />(:ONTACT FOR PERMIT <br />��v� ADORESS <br />NO. I TYPE OF F�XTURE OR ITEM <br />Toitet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8�disposal <br />Dishwasher . <br />Gothes washer � � <br />Laundry tray <br />.B�ckFlowpreventel �. <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />HEATSOURCE <br />_ Electric �C, Gas _ Other <br />� <br />w� �asg oS73 <br />PHONE <br />CITY/ZIP PfiONE <br />I CONTP.ACT PRICE OF WORK <br />MECHANICAL <br />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 range <br />Cbthes dryer <br />Range hood <br />Exhaustfan ' <br />Heatpump `� " <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodsiove <br />CIT'I OF EVEREtt LOCAL SALES TAX CODE IS J105 <br />I hereby ceritih� that I have read and exami;:ed this application and know the same to be true and correcL All provisions of laws and <br />ordinaces governing this type ef work will be com�.:ied with whether specifed herein or not The granting of a p?rmit aoes not presume <br />to give aulhoriry to violate or cancel the provision of any other state or local law regulating construction or the perfortnance of <br />construction. That I am au:horized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296200 WAC. <br />