Laserfiche WebLink
b:,�:. ,: <br />APIIbL C'pN57RUCTION GROOi�iJlt. � FO� �q���T� ('��T��-■ <br />a+ s ro <br />PEG�Ni1T <br />Mailowe Santos . <br />e.nem�cr <br />1395WARNERAVF.IJUE•iUSTIN.CALIFORNN92f80 ' <br />(714)259�8577•FN(q!q)p59-BGO� �IPLETED IPf IMK— PL'eASE PRINT <br />ONRiEN --1 ......_ _. � � CIT\' no <br />everett <br />� <br />Ci' � G Sl�o�Os .sdo :�,ati�ti s{. _�i.� %,ek ioo•�' a�ia d19- Y96/ <br />iENAN� M�ILR00 ESSC prv <br />R9(I� SAM` ZIP P GNE <br />/�IS q fjovs.• <br />MCARECfORDESIpNEN MAILp�ORE93 CRY Zia PHONE <br />§ <br />C/� �}o Cs+r�Si- _� Gp'-pI-TG <br />i�� 1� Q✓�honi L34St✓an.x Q A/� Tusl,�/ �l2L�D ?�'f RSy-RS7'7�'�_za,.� <br />MECHANICALCONTMCTOR MqLADDRE55 C�TY ZIP PI�ONE LI ENS� <br />i <br />PLUMBINOGONTMCfOR MRIL�ODRE99 CIiY ZiP PIIpNE LICENSE� <br />GWSSOFV.VpN --- — <br />❑ NEW ❑ A�DIT�ON � ALTERATION ❑ REPAIR ❑ OEMOIITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br />TENANTIMPROVEMEMORINT@RIORH`EMOUE�ONIY ��� �� GONIR:iPER5/0N�.R�NDPHpNENO. " <br />CONTMCTPqICEOFWOPM ��.JQ.�)DU• O� � //)OQLAG/C SHN�_C �! <br />'� l0T BLOLR OF <br />PLUMBINO <br />PiG\i�9 <br />CLOTHES WASHER <br />URINAL <br />ALLOWABLF1�CfUAL <br />FIRE <br />f✓`� <br />� <br />e <br />�%/`/ .1Sy- �'.S ! / <br />I HEREBV CER i IFY THAT I HAVE FEAD AND EXAMINEO TFIIS APPLICATION AND <br />KNOW THE SAMETO BE TRUEPND CORRECT. ALL PROVISIOtdSOF LAWSAND <br />ORDINANCES GOVERNING THIS TYPE OF WORI< WIIL 6E COMPLETED WIiH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINQ UF A PERMIT DOES NOT <br />PRESUME 70 GIVE AUTHOFITV TO VIOLATE QR CANCEL THE PflOVISIONS OF <br />ANY OTHER.^•'.:.�E OR LOCAL LAW REGULATING CONSTRUCTION OR THE P[R- <br />FORM�,�v�c OF CONSTRUCTION. THAT I AM AUTHORIZED OV THE OWNEP OF <br />THI� 2ROPERTYTO PEPFORM THE WORK FOR WHICH APPLICATION IS MADE <br />ANb I COMPLY WITH THE STATE CONiRACTORS LAW 1827 RCW AND <br />288.200 WAG <br />SIONRTUP.EOFCONTRqCTORORpVTMOBIZEOAGENT ORTE <br />� —/ �_GLt.Y.�l,//l0 C �%S'1dfi�. ��c���9 <br />RPP4G�Ni8GITNBUSINE63LICENSEN . NDBUSINE63NpME ��� <br />h7ECHANICAL <br />NO. TYpE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS— B.T,U. M EA <br />UNIT HEATERS � B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />CHIMNEV <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />$ SUB70TAL S <br />$ _ PERMIT $ <br />5 TOTAL FEE $ <br />IOESETBAGK PUNCHECKNUMBEH FEE pECEIPfNO. <br />- Sa �ai��/ z8�°S I�Sa� <br />O VES <br />ANCYpRpUP IIO.OF <br />Pj —�_ <br />STORIE� �SMi. OL4 L( <br />L ❑v <br />IIEIGHi <br />❑ NO <br />�' ��l-� W �` C��� <br />WEILINGUNIiS BUILDING <br />—� PLUMBING <br />1D <br />QZ MECHAN-,CAL _ _ <br />IMITAl10N OTNcF7 <br />S7ATE BU�IDING SUHCHARGE <br />STATE ENERGV SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />mt <br />FEE <br />s <br />