3003 W CASINO RD BLDG 40-31 2022-03-18

NcRMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 - www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM SITE ADDRESS PARCEL TAX I.D. # PERMIT # 3663 W, QhS/i✓o /L4D LEGAI I LOT NO. BLOCK TRACT OR SUBDIVISION # DESC. OWNER ADDRESS CITY/ZIP PHONE 8o61tier., TENANT NAME CONTACT FOR PERMIT PHONJE E-MAIL -- / ZIP PHONE UOE/ J6- CONTR. LICENSE # USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK Cv M P . I — Electric Gas Other I WORK DESCRIPTION 3 SETS Or- 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 piping _ Shower Water heater _ Kitchen sink 3 disposal _ Gas fireplace _ Dishwasher _ Gas range Clothes washer _ Clothes dryer _ Water heater _ Range hood _ Sink (service/bar/mop/etc.) Exhaust fan _ Backflow prevenler Heat pump _ Urinal Unit heater _ Drinking Fountain Boiler _ Floor drain Refrigeration _ Grease trap Woodstove _ Roof drains Other Other CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of 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 StateContractorsLaw1 r�290.200 WAC. / Signature of Owner/Contractor/Authorized Agent Date I