Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />425-257-8810 — FAX 425-257-8657 — www•everettwa.org <br />APPLICAl70NS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT S CREDIT CARDS ARE NOT ACCEPTEC <br />S1TE AUDRESS PARCEL TAX ID. i! PF�MIT ti �' <br />� � ��' � � <br />-� � � - � i � i.����. �:-' � r_ �� � = - <br />LEGA LOT NO. BLOCK TRACT <br />DESC. <br />iENANTHAME <br />� �' t (' 1�+. . i <br />CONTF2ACTOR <br />CONTFt UCENSE f <br />i- <br />USE OF BUfLDING <br />,. <br />WORK DESCRIPTION � , . <br />� . . . � � „ � <br />� � i �. _.i' ' ,� ' tb � <br />CONTACT FOR PEHY�T <br />ADDRESS <br />HEAT SOURCE <br />__ Elednc � Gas _ Other <br />. . . � , . , .. . . <br />PLUMBING , . <br />Np, I TYPE OF Fl%7URE OR ITER1 �- �� <br />�_ Toile� <br />Bathtub <br />� Lavato�y (vrdsh basm) <br />Shower <br />_` KilCtlen sink 8 d�sposal <br />�Dishwashrr <br />Clothes xashei <br />Laundry tray <br />� Slnk (�rnce•baUmoplelc 1 <br />gadc0ow preventer <br />Unnal <br />Drmkuig Fountam <br />Floor drain <br />� Gma,e �rap <br />_ IRoaldrams <br />a�,�� ----- <br />��� i ir, .� 4 ll�� r i11 I <br />PHONE <br />'1 -' . . � � _ '1 _�,� �I <br />GfTYZP PHONE I <br />CONTRACT PRICE OF WORK ; <br />Ll�' ��<� <br />, .. ,. . . , • .. . -� �.. <br />Np, I TYPE OF FIXTURE OR ITL-M <br />� ,AIC - air handling umts <br />_ FQ�ced air systems <br />} Gaa ymg <br />�— Wate eater <br />Gas 5re ce <br />� Ga,range <br />.� polbes drye� <br />. Rangchood <br />Eahaust �an <br />� Heal pmnp <br />Unn I�eate� <br />RoJer <br />RefngeraUon <br />�� - Woodstove <br />Othc� <br />�t.f�'.,t l , .. <br />� '- . . <br />'� GlT/ OF EVERETT LOCAL SALES 7Al( COOE IS 7105 <br />i hereby cenllty lhat I have read and ezamined Ih�s applicaUon and know Ihe same to be We and cortecl. AI� Prov�sions ol laws and <br />ordmaoes govemug this type ol wode wdl be camplled with whelher spedfied herem or not The granUng of a permlt does not presume <br />to give authonty lo viotate or wncel Ihe pro�yon ol any olher state or local law regulating constnlction ar Ihe pedormance ol <br />construdion That I am aNhorized by 1be owner of Ih�s pmperty 10 peAorm 1he woik lor whidi apphwtion i, made and I comply vnth the <br />State Contradors law 1827 RCW and 29G Z00 WAC <br />� � <br />��',�i� C l//( / ,� :�".i, � <br />�- - <br />i <br />