712 90TH ST SW 2018-01-02 MF Import

PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 —FAX 425-257-8857 — vdww.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM SITE ADDRESS Yfy PARCEL TAX I.D. p PER IT q � � �T SW _ LEGA LOT NO. BLOCK TRACT DESC. OWNER ADDRESS CITY/ZIP PHONE TENANT NAME I C TACT FOR PERMIT PHONE CONTRACTOR ADDRESS CITY2IP PHONE CONTR. LICENSE N m USE OF BUILDING HEATSOURCE CONTRACT PRICE OF WORK Electric Gas Other WORK DESCRIPTION PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM Toilet A/C — air handling units _ Bathtub Forced air systems Lavatory (wash basin) � Gas plying Shower Water neater _ Kitchen sink 8 disposal Gas fireplace _ Dishwasher Gas range _ Clothes washer Clothes dryer _ Water heater Range hood _ Sink (service/bar/mop/eft.) Exhaust (an _ Backllow provonlor Heat pump _ Urinal Unit heater _ Drinking Fountain Boller _ Floor drain Refrigeration _ Grease trap Woadstave _ Roof drains Other _ Other CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 I hereby cerillly that I have read and examined This application and know the same to be trur, and correct. All provisions of laws and ordinates governing this typo of work will be complied with whether specified heroin or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other stale or local law regulating construction or the performance of conslruc on. That I ern authorized by 1 0 owner of this properly to perform the work for which application Is made and I comply with the Stet tractors La 1 .27 RCW a 296_200 WAC. lure o Ow erl on rector/ ulhodzed Agent Dale