Laserfiche WebLink
PERMIT APPLICATI0i-4 <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 /> SITE ADDRESS PARCEL TAX I.D.A PERMIT A <br /> LE AL LOT NO. ,BLOCK TRACT OR SUBDIVISION A <br /> DESC. <br /> OWNER �r ADDRESS CITYIZIP PHONE Zi�� -- <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E-MAIL <br /> FORE- <br /> CONTR.LICENSE A �(.J �VV�W� (/_ �� <br /> amu,'{� �- <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric _Gas_Ldiher y <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilot _ A/C–air handling units <br /> Balhlub — Forced air systems <br /> Lavatory(wash basin) — Gas piping <br /> _ Shower _ Water healer <br /> _ Kilchon sink 8 disposal — Gas fireplace <br /> _ Dishwasher _ Gas range <br /> _ Clothes washer — Clothes dryer <br /> _ Water heater _ Range hood <br /> _ Sink(servicelbar/moplolc.) _ Exhaust fan <br /> _ Backflow prevenler __ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boller <br /> _ Floor drain Refrigeration <br /> _ Grease trap Woodslove <br /> _ Roof drains Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cedtify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinates governing this type of work will be complied with whether specified 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 /> construcliory Thal I am aulho ed by the owner of this property to perform the work for which application Is made end I comply with the <br /> Stale Contra�lors Law 18.2 RC and 288.200 WAC. /�f <br /> g l v o/ caner/ o ra or <br /> gaol D e r <br /> l <br />