Laserfiche WebLink
Jan 10 11 01:48p Washington Waler Heaters 4255726781 p2 <br /> � <br /> PERMIT APPLICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> , 3200 CEDAR STREET, EVERETT,WA 98201 <br /> i 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM j �/��/� <br /> i <br /> � SITE ADD ESS pARCEL TAX 1.0.p PERMITA <br /> '��'� �u.���v�eu� �c�.i�.e OD�a53pooa ��( UU � � � -0� 5 <br /> LEGA LOTNO. BLOCK TRACTORSUBDIYISION�T <br /> OESC. <br /> OWNER ADDpE55 CfTY/ZIP PMONE <br /> I�v�S �,M.�ov� Silo ( �cwlC��e cc��u�u E�F��� !�3 ���9� 95 <br /> TENANTNAME I�ONTACTF�(flPERMIT� PHONE G��9��� 5-�'�— <br /> �`� �� QCG QJGU'1l��.S e-ua�hOfGOQ�1er'y Jt( C Q// <br /> (N�1�R CT�Ob ` �/� �r��r /�-,�`/' n�� <br /> W�S�l INVr�� ��TG<-h'�Yi'��j AD ! �.V U'iCC/ S PM �'�'b�_ G7Y� <br /> c�N'i;,`iFlSi-�rt",�- 9�U OP /'ael(GvuG Gv2 ��i� �5�8 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PfiICE OF WORK <br /> � l cS�C.�e+�'��, _Electric �GaslOther I ,b}� <br /> WORK DESCRIPTION <br /> C',��cw�c�,c D-u.F l o��s Gc��a�2v /�'cc/-�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl1'TURE OR 17EA1 110. TYPE OF FtlCTUpE OR ITEN <br /> _ Toilet A/C-airhandlingunils <br /> _ Dathlub Forcedairsystems <br /> _ Lavalory(wash 6asin) Gas piping <br /> _ Shower _� WaterMeter <br /> _ Kitcben sink 8 disposal _ Gas lireplace <br /> _ Dishwasher Gas rango <br /> __ Clott�es washor _ Clolhes dryor <br /> _ Watcn c�atcr Range hood <br /> _ Sink(service/bar/map/etc.) Extwustfan <br /> _ Bachflow prevenlcr _ Heat pump <br /> _ U�inal _ Unit hoater <br /> _ Drinking founlain _ Boiler <br /> _ Floordrain Rolrigeratlan <br /> _ Greasetrap Woodstova <br /> _ Aool drains _ Olher <br /> Olhcr <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 � <br /> � 1 hQreby ceri6fy that I have read and examined Ihis applicalion and know Ihe same to be truo and corroct. All provisans ol laws and <br /> iordinaces goveming ttds type of work will ba complied with whether specdied herefn or noL The granting of a permit doos no!presume <br /> lo pive authoriry to violate or cancel the proNsion of any other stata or local law regulatMg conslruction or Ihe prnlormance ol <br /> � con�ruction.That 1 am aulhorizod by t e awner of Ihis perty to perform the wa�k lor which appGcation is mado and I cornply with the <br /> Stat- e C rnractors Law 78,27 R W 620o WAC. <br /> � � j� , ! �GGct,�v l—�0'l� <br /> Si�rla ur ot O�+�ner! oniract qAuthorized Agent Uate <br /> �/ <br /> /� <br /> r-> , � �ax �.�.� = -.�,�.�� C6� ��� ,�� <br /> > � <br />