Laserfiche WebLink
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 />APPI_ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />31TE ADDRESS � � <br />J � � '-� jt ( tli (�r - <br />LEGA LOTNO. BLOCK TRACT <br />DESC. <br />OWNER MDRE <br />i-c�l� i�c'�r.� 1 `i�.-'- <br />PARCEL TAX I.D. K <br />M ��� '�r- <br />N <br />r=f'�= i�i �nA �l <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />/-��)' 35'J'rt51 SS� <br />CONTRACTOR AODRESS CITY2IP PHONE <br />CONTR. LICENSE N <br />U.9E OF BU�L�ING <br />HEAT SOURCE <br />Eloctric Gas Other <br />WORK DESCRIPTION �� � � � , i � � � � � �. , ' � � �� , �-, � �_ <br />NO. I TYPE OF FI%TURE OR ITEM <br />Todel <br />BalhWb <br />Lavatory (wash hasin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clulhes washer <br />Laundry Iray <br />Sink (service/barlmopletc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease �rap <br />Roof drains <br />O�her <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C - air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes clryer <br />Rangehood <br />Exhausl 1an <br />Heat pump <br />Uni� healer <br />Boiler <br />Refrigerelion <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAJ( CODE IS J103 <br />I hereby ceritify ihat I have road and examined this application and know Ihe seme to be lrue end corcect. All proviaions of laws and <br />ordinaces governing lhis type ol work wdl be complied with whelher specified herein or not. The granting of a permit does not presume <br />�o give aulhonly to viola�e or cancel Oie provision uf any other state or local law �egulaling construction or ihe perlormance of <br />consiruction. That I am aulhonzed by the owner ol ihis property to pedorm Ihe wark for which applicalion is made and i comply wllh the <br />State Coniractors Law t8.27 RCW and 296.200 WAC. <br />