Laserfiche WebLink
Pe <br /> RMIT APPLICATI&I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM c o s. / —43° <br /> SITE ADDRESS T"" PARCEL TAX I.D.# RM IT it <br /> 003 w, CA'5 O D g-/7~-�i <br /> LEGAL] LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> 4106-ING- 1151.6-in orl-5"k-1 (tz.47-ic, —2-5-9Y e <br /> CONTRACTOR 3061I�1G„ /_ ADDRESS CITY/ZIP PHONE <br /> CONTR.LICENSE# � <br /> USE OF BUILDING HEAT SOURCE CONTRACT``PRICE OF WORK <br /> 452,4Pe _Electric _Gas_Other S,Q0C1 <br /> WORK DESCRIPTION <br /> G W—CP-r& Cons P-CX- N&C c.1 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstov <br /> Roof drains I Other V V 8 d X <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 provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein 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 regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application is made and I complywith the <br /> State ontractors Law RCW and 6.200 WAC. <br /> it(/r 1/a <br /> gnature of Owner/Contractor/Authorized Agent Date <br /> S.) <br />