Laserfiche WebLink
R-�RMIT APPLICATI�N <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICAIIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />DESC. <br />TENANTNAME <br />PARCEL TAX I.D. # <br />1 � <br />TRACT <br />CONTACT FOR PERMIT <br />PNONE <br />CONTRACTOR��L ��MA���aCIAL �qP� �DDRESS %��01 �ITV21P PHONE <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />/�Ubur.��ol (a-S3)631-3l� <br />— HEAT SOURCE I C!�YTRACT PRICE OF WORK <br />Electric Gas Olher <br />.I-� s-�«,L� z�a.I /e � c�ti/er � �CZ-� _ <br />NO. � TYPE OF FIXTURE OR �TEM <br />Toilet <br />BalhWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washcr <br />Laundry tray <br />Sink (service/bar/mop/elc.) <br />Back(Iow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NO. � 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 />Ranc�e hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boi�er <br />� Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y lhat 1 have read and examined this application and know the same lo be true and correct. Ali provisions ot laws and <br />ordinaces governin this lype of work will be complied wilh whelher specified herein or not. The granting of a permit does not presume <br />to give aulhori o violate or cancel the provision o( any other slate or local law regulating consWction or lhe pedormance of <br />consiructio t I am authorized by the owner of this propeRy to perform lhe work for which application is made and I comply with the <br />State Co ctors Law 18.27 RCVq and 296200aNAC. <br />