Laserfiche WebLink
FP,OM :Ever9reen State Heat 8 Ai� FRX N0. :4252596660 May. 27 2009 10:01RM P1 <br /> -----'�� � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-BB10— FAX 425-257-8857—www,everettwe.ar9 <br /> APPLICATIONS ARE ACCEPTED FROM t AM TO 4 PM S `-��`�;G <br /> �i� <br /> SITE ADDRESS PARCEL TAX I.D.t PERMIz M <br /> /�1,z. CoC/IY �' � ' -'� <br /> LEGAL LOTNO, BLOCK TRACT <br /> OESC. <br /> OWNER ADDR � I YI � NON <br /> C�fQoc. wi�u.v�x s � �S Z lo��r.Q�e- � �' �� y�Lr-�s9- sG� <br /> TENANTNAME CONTACTFORPERMI7 PMONE <br /> �.-9ti /.�sz iZ�'z �.z5'-eZS'� -,�//t� <br /> CONTRACTOR ADORBS8 CITYIXIP PMONL -- <br /> �u�zG�� sr� � - ,��G �iz o ���r�� �i- ��-o � yas-�2sa 3��y <br /> CONTII.LICEN4E N <br /> ��'tGss��-aor <br /> UBE OF BUILDIN6 HEAT tOURCE CONTRACI PRICE OF WORK <br /> �Q�/�✓��G `El�ctrlo,��0�t _Olh�r �jT �QO �—` <br /> WORK OESCRIPTION <br /> G�vGC-�u: a/c �i,�i�� 7v G•9 s • G9 s �i'rsr��- /�-i� � <br /> G,� P�,�itiG 7y �i�hyA� � l�i� � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TY�E OF FI%TURE OR REM <br /> Tollot NC—alr handilnp unlU <br /> � BatMub � Forad�Ir�y�tom� <br /> Levetory(woah baeln) GU Ipin <br /> '� Shower � Wetir Mpter <br /> � Kitchen Nnk 8 diepoaal � O��fir�pl�c� <br /> ' Dlehwa�her __ On r�np• <br /> ` C�othoc wochnr , Cloth��dry�r <br /> Leundi tre Q <br /> _ Slnk(service/bar/mop/etc.) ,� Ezno�(f�� ' � <br /> Back(Iowprevemer ,^ H��tpump <br /> _ Udnal ____, Unk���br <br /> _ Dtlnklne Fountein _ Boll�r <br /> � FloorCreln � _ R�frip�nllon <br /> _ Oreese Vep _ Hr���o�� � <br /> � Rool drelne _ Oth�f <br /> otnar <br /> CIT1'OF EVEqpTf LOCAL{AL6i TN(COCE I�7100 <br /> I hareby cetlLty t�et I heve reed end examinad thb eppllcetlon�nd know th� um�t0 b�tfu��nd aornct, All provld6n�of I�w�pnd <br /> ordineces poveminp thls lype ol work wll�bo compllad wlth wMN���paciA�d h�rdn or not.Ths pnntlnp o1�patmlt Eou not pmuma <br /> to elve eutnorlty to v1ole�e or cenoel the provl�lon o(�ny other tlero or IOcai Irw npuloUnp con�tructlon ot th�psrformmcs ol <br /> conelrucUon. 7hat I am outhoNzod hy ths owner of thla propeny to p�rtotrtl tha work for w�lch�ppllca0o0 I� meda and I camply wiM the <br /> State C act rn La�78.27 RCW and 288,200 WAC. <br /> /�4� s/z �/09 <br /> Signature o w erl �ond c�onhumoruea n9e�� De'•a <br />