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.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDR SS <br />39zo l� � � s�L sL <br />LEGAL LOT NO. BLOCK <br />oEs�. i o_ iz 3 <br />OWNER <br />� r'� �o LG t��S <br />TENANTNAME <br />CONTRACTOR . ��1� � <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />TRACT OR <br />PO• ��x 1.Z278" <br />ICONTACT FOR PERMIT <br />��M QL/S � rnDUS � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavalory (wash basin) <br />Shower <br />Kitchen sinA 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (serviceNadmop/elc.) <br />Backllow prevenler <br />Urinal <br />Drinking Founlain <br />Fioor drain <br />Grease lrap <br />Root drains <br />Other <br />HEATSOURCE <br />_ Eleclric _ Gas _ Olher <br />PERMIT # <br />c��o p' C,� <br />�J To E�EKETT <br />ITYIZIP PHONE <br />��K � a�z y.� <br />PHONE <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas (ireplace <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritify Ihal I have read and examined lhis applicalion and know lhe same lo be lrue and correcl. All provisions of laws and <br />ordinaces governing lhis type o( work wil� be complied wdh whelher specified herein or noL The granling o( a permi! does not presume <br />to give aulhority to violate or cancel the provision o( any other state or local law regulating construction or lhe periormance of <br />conslruclion. Thal I am authorized b� lhe�ow o his property lo perform the work for which application is made and I comply wilh the <br />Slale Conlraclors ,L•a �1827 RCW �n��29������ � /�� <br />� <br />