Laserfiche WebLink
RUN L <br />MECHANICAL PERMIT APPLICATION <br />EVERETT <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITFALINSrauCTiONS: Drop ORl,nmwparpapmapplbauon&plan M MOCeder StreelzM Faor IMNa Drop Non. <br />CONTACT INFORMATION: (P) 445257.88101(E) I (W)evereltavAgwipermlM <br />(Blue or Black Ink Only Please) PROJEOT SITE INFORMATION <br />PROJECT SITE ADDRESS: L H PARCELY: 0 (aktI0000 cal <br />�Small WX or 9020 <br />SUITEIUNIT V: FLOOR* ADDITIONAL LOCATION INFORMATION: <br />TENANTIRUSINESS NAME(RmrrmiderdlaD: <br />CONTACT INFORMATION <br />OWNER NAME: <br />OWNER MAILING ADDRESS: clatolor PO <br />14110 <br />Tn.Llctxe W. "bnv <br />OWNER PHONE: <br />OWNEREMAIL: <br />�1 <br />CONTRACTOR COMPANY NAME: A-n-c K <br />WASTATECONTRACFORLICENSE;1(REOIBRED)p I WOFEVEREWOUSINEse UCENSE#(REOUIRED): )JIzn- <br />CONTRACTORADDRESS: Art <br />Off, STATE ZP <br />CONTRACTORPHONE: <br />CONTRACTOREMAIL: <br />PRIMARYCONFACT: DOWNER ❑CONTRACTOR ❑OTHER(Pleaee9psa&y) <br />CONTACT NAME: CONTACT PHONE: .lt b <br />Scott rooDild< ACT EMAIL: 1<1 r rai G•^e <br />MECHANICAL PERMIT INFORMATION <br />VALUATION OFWORK:$ ASSOCIATED PERNITY(Ra Ikable: O-`0$QJ <br />Mwewn m.n . nep.vae;nmawavawnmen .end, mareme..meeu:Pmamr rwaa s <br />n rmZ <br />BUILDING TYPE: YISFR LITawnM1uuse DDulax DADU OMWN-FMNI-CUNIs: DCOIIIIWICMI DACCess 31RIdUR <br />DESCRIPTION OF WORK:-F= Anha,D Z <br />MECHANICAL PERMIT FIXTURE <br />COUNT SCOPE OF WORK <br />Flamm <br />Ccunl <br />PRO <br />Lbroln#IUTea <br />Ftrlun <br />Could <br />O <br />WIoTFNlures <br />A/Cunn (elleat plenvNJr lomtlonnlarMoawdN <br />Gas Pkmp-Licilo mAem In NMutemnl <br />Nr HenannunN4le <br />Ga."ancrell# <br />Kolar promat reeueabsck8ow revennon Mk <br />Cars Fimplace, boom. mabL *fia rarc§I Ma <br />CommaNM Poingampor, Woman mnkn. vnD MV. akJ <br />Gars - Cater Om cgy an <br />Communist VenNlalion(wrwor, bpamuA pxmaminun, we) <br />Haft Pump (sold can WN bvtkn of ouMoor urn) <br />GxnpnpaalGenarabra(on o ng pmmMdoor M domain=e' <br />Heat Pump Dudlw(anaon plan Win Noflon of candor unit) <br />CIolhom Cryn EXamot <br />Domain Plplry <br />Dud SYsdrnp&abw,neraewe) <br />Dot healer(oardmnda arse) <br />Exhaust Fm peadengal or commercial use) <br />waer llaater Cas or diaconal <br />Exhaust Hood (radial mar BID") <br />waoaNeo6lslP/a Sauced <br />coal Hood Type I A <br />Olherluat Trod <br />Exhaust Hood Typo ll kAr'h <br />aher(wtTor, <br />Fumem reelaemunl) <br />1other Unt Typerc <br />of F«cpmmerciel gas nregaas, pMem poll Planar and mnrabowrere mdnlnuos manual. <br />•e Under Dosmptiomol Work, gemelr Nde Typed Eyw•pmeM, npHl ph ad datailad dascdplion INvmrk, and 0e location ottheepulpmenl. <br />Type I bond and Type II MMe eNN be mr a stand elud Meehenkn Damon eppkalion and man res plan mview. Room subm;l the undraped drcwrenh as <br />aWk dMGrbed In the amocated CMCkbtl OMns el avereMN. / Ib wder am Creckrbrs& Ilallouls lab. <br />nruep`xertnamrnnmm rre�twmnaran nrune amewncr. wnramne Punuenr rp nrrspdrmurrvm[ampy rmn <br />formal Wanda onto, 0"llpophourno PM1MlrgdepemaPwJ/eu1M1JdAf egNOWtlWrkelAno Wuiadsnf IIrBNINm.OpvldMnsmrKtlretM ooYMdNm Wna rrunlM <br />BuWPO OMI DWwe bNnB anlmn'nd wrMr uny d amunlame. I an, me umur, of I an aWMdaaa by IRA caner of food pro emy an perform It, xwkM wnlnh appRanm 1f mado <br />and l romply vmp me Woos CaMromal low 18 PF RCWaad2GA2 M WAO <br />Cnyd Evedll pNcbl Das Only <br />SPERMITC <br />A) L� b 13 aZ If/17iZ6 - O S <br />Gwnmaumard.a Aa.maelemanpe Done (Rewadverzapr <br />