Laserfiche WebLink
Oct 09 10 02:31p Washington Water Heaters 4255726781 P•2 <br /> ( � <br /> PERMIT APPLICATION <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 <br /> SITE ADDRESS PARCEL TAX 1.0.# PERMIT i <br /> r c� �r r-L v GOZ(vOv O C>- 3 <br /> LEGA LOT NO. BLOCK TRACT OFi SUBDMSIONN <br /> DESG. <br /> OWNEq �- ADDR SS qTY21P PHONE <br /> �{�t-DPJ') �'�iYl`elJl'1 ZZl -Q�CI� BYIh-l. �UIP,rff4 9$�3 a(J�T1B'-Z�,�' <br /> i81ANTNMIE pONTACiFy�PERMR� PHONE QO� �3�— <br /> ��Jacei d�cu��ls �N�hofwa.frvv �nc� . <br /> w�sFr�nrcnror� cu�-��✓z.��"° l�w r��. s g�8 � <br /> CONTA.LfCEN3E �C�� � <br /> r,�,�sr-�rt� �o o P /�l�e vuc !�a- 9�a5 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PAICE OF WORK <br /> ���(,.�.�.u��(�X_. �Electric _Gas_Other L� ,�j!"�� <br /> WORK DESCRIP'TION <br /> �'.f�cw�c�c. C��n_.�- l -2�1,e r� c, L�o�-d-c-,� �� c� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEN NO. TYPE OF FlI(TUpE OR 178t <br /> Tdiet NC—air handing ur�ts <br /> Bathtub Forced air systems <br /> � Lavatory(wash basin) _ Gas pIp'mp <br /> Show�sr W acer heater <br /> Kttchon si�c&disposal , Gas tlreplace <br /> Dishwasher Gxs range <br /> Clothes washer Clothes dryer <br /> ,� Water heater _ Ftange hood <br /> Sink(service/bar/mopletc.) Fachaus[fan <br /> BacMlow proventer Heat pu;np <br /> Urinal UNt heater <br /> Drinkmg Fountain Boiler <br /> Flaor drain Rcfrigeratlon <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CI7Y OF EVERETT LOCAL SALES TAI(CODE IS 3105 __ I <br /> I hereby cerki(y that 1 have read and examined this appliption and Mrww the same ta be true and correcL All provisiau of laws and <br /> ordinaces gavernirg this rype of wurk will be complied with whether specHfed hereln or not.The granting of a pertnit does not presume <br /> to give authaity lo violate or cancel the prov�sio�}p1 arry other stafe or Iocai law requlaUnp construdion or tho performanrn ol <br /> conslructan.That 1 am authoriz�e owne/di this property to peAortn the work lor wtvch epplication is made and 1 comply with the <br /> Stale radorsLa�4.t8. 296.�b%��AC. <br /> L. Ll.f,�x i, ( U� I �) <br /> Sign m af Owner/Contracfor/ ut wiz gent Oate � <br />