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 <br />SITE ADDRESS PARCEL TAX I.D. p 1,,PERMIT If <br />I <br />,L S LJ t Z3 O\ oo� <br />LE�01 <br />T NO. BLOCK TRACT OR SUBDIVISION 0 <br />DEce W�v 1ni/1n..4!✓ <br />TENANT NAME CONTACCTTFOOR. PERIAIT PHONE e-ltS -'Acail <br />E-MAIL1?�Se (uncyt.i <br />CON MDR <br />IwhwSou L&mc Re= &rtoup .-TNe itr56o 6- 4vc cow A-3o� sern�/.vr we 9!r��7 <br />CONTR. LICENSE N <br />bAr..lSele <br />USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br />N Ft,J I kO Yk Q _ Electric _ Gas _ Other <br />WORK DESCRIPTION <br />NO, I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/mop/etc.) <br />Backflow preventr:r <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air 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 />Haut pump <br />l healer Boller <br />Boller /S <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know :he some 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 Cnptractors Law 18.27 RCW and 296.200 WAC. 1 <br />`�a <br />C. <br />