Laserfiche WebLink
PERMIT APPLICATIONv��s/ <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-E857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPT Fr) FROM 8 AM TO 4 PM <br />SITE ADDRE S <br />hue' <br />PARCEL TAX I.D. # PER IT # <br />i17 /3 <br />LEGAL LOT NO. <br />BLOCK <br />TRACT OR SUBDIVISION A <br />DESC. <br />OWNER ADDRESS CITY/ZIP PHONE <br />TE ANT NAME // <br />llil fit: <br />1 <br />CONTACT FOR PERMIT PHONE <br />/7" UE'r- rr`— <br />E•MAIL�� <br />� N RACTOR CITYIZIP PHONE <br />:�2-ulc�l�rei�xrirrGu7�ur�/o.�5 ?32G•/2/SfA�e�� E✓r, /1 <br />CONTR. LICENSE T <br />r/! v J <br />/PRICE <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT OF WORK <br />_ Electric J<Gas _Other <br />WORK DESCRIPTION �i ✓1 <br />IV/i4L f.9r <br />yew Vx/ u Sox Gird /A�,5 "faleW <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />1_ <br />A/C — air handling units <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />Water heater <br />_ <br />_ <br />Kitchen sink & disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />Water heater <br />Range hood <br />_ <br />(service/bar/mop/etc.) <br />Exhaust fan <br />_Sink <br />BackOow preventer <br />Heat pump <br />_ <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />_ <br />F" or drain <br />Refrigeration <br />Grease trap <br />Woodstove <br />Roof drains <br />Other_ <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 the same to be true and correct. All rrovisions of laws and <br />ordinates governing this type of work will be complied with whether specified her6n 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 ,e iuk.ting construction or the pc:formance 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 />State Contractors Le, 8.27 RCW and 296.200 WAC. <br />Signalur ner/ nlraclor/Authorized Agent <br />*-I <br />