Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98'?01 <br />425-257-8810—FAX425-257-8857—�xww.everettwa.org �/��1/_ _�0/J <br />��(P -7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE .,DDRESS �� PARGEL TAX I.D. # PE MIT # <br />� o r � „ I �-1 - C._0_. ,.,,,f „ � , i �,,..,��a,,,�, ��ii,� _ %���t <br />NO. I BLOCK <br />TENANTtIAME <br />� � �7�� <br />CONTACT FOR PERMIi <br />PHONE <br />CONTRACTOR � ADORESS CITY/ZIP P NE <br />�U��V��Gff'�u� Ide� e�a�l� ��'���.�!� R,eI�N�N� ��to <br />coNr�tt � <br />�rc��.r-� ._ i H 1 �2R1/2 �.� �-7��� <br />USE OF BUILDING I HEAT�SOt.R E CONTRACT PRICE OF WORK <br />5 <br />WORK DESCRIPTION <br />S I NC���. C�ll� <br />��... <br />t-=X�S��N� �/p' <br />� Eleclric _ Gas _ Othe� " � ( ���/'� <br />�fl �gL �� ',`C ► g ,� ,, <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/badmop/etc.) <br />BacY,Oow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />/O 2/Z <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Fnrced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hocd <br />Exhaustfan <br />Neat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETf LOCAL SALES 7AX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct All provisions of laws and <br />ordinaces goveming this type of work will be complied with whether specified herein or noL The granting of a permit does not presume <br />to give authonty iolale or cansel the provision of any other stale or local law regulating construction or the performance of <br />c"onstruc i T at I arr autnorized by the owner of this property to periorm lhe work for which application is made and I comply with the <br />Staie Contra to Law 18.27 RCW and 296.200 WAC. <br />���� C�U. ,�,� c.� — J x"— / l) <br />re of Owner/ ontra IodAuthorized Agen Date � I <br />2 <br />