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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3 _Q <br />SITE ADDRESS <br />i <br />PARCEL TAX I.D. III <br />PERMIT 0 <br />lcl <br />� 5� ,,.'i i <br />"yOZDaGnn <br />// o rJ I M Q70f {1G, <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC <br />OWNER <br />ADDRESS / <br />CITYIZIP 412.P N''E//3 <br />l�l�GfIL✓{'11 <br />C/ � � <br />`fG(. 71!`•- / <br />cL✓Crf7T <br />N! <br />G_.S� <br />TENANT NAME <br />CONTACT FOR PERMIT <br />PHONE <br />CONTRACTOR <br />ADDRESS <br />CITYIZIP PHONE <br />CONTR. LIC SE # <br />_v e f <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />I <br />I <br />_Electric _'�4Gas_Olher S c�✓r , <br />WORK DESCRIPTION <br />'e C ✓ /L .�� w �cR' �. L' •r•. +�. s�[-r �G-�c�R-C(1 <br />NO. I TYPE OF FIXTURE OR ITEM <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbarlmopletc) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drams <br />Other <br />A/C - an handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />I hereby certtify 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 />construction That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />Slate ConlractoriLaw 18 27 RCW and 296 200 WAC <br />r l�tii_ ,I-/ / - 3 - c 7 <br />