Laserfiche WebLink
FROP1 :Evergreen State Heat 8 A/� FAX N0. �4252596660 � Jan. 29 2007 08: 19PM P1 <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 A�DRES$ PARCEL TAX I.D.M PERMIT tl <br /> � Y s�. r�( �o, - s� <br /> LEGAL LOT O• BLOCK TRACT <br /> DESC. <br /> OWNER AD�RE63 CITY2IP PHONE <br /> .�oiviv.¢ �o19/Lt�'�24 �Y Z� /)yt/9GE 3T. EI/. �'.?o/ y�.�.?9 -8 S75' <br /> TENANTNAME �� CONTACTFORPERMIT PHONE <br /> CONTRACTOR ! ADDRESS CRV21P PHONE <br /> E'1�El�G/uUv t� .f'/hr�/�9Z �x 9 <br /> CON7 R.LICENB N ,Z I Z V P/IC//CiG A`f.� �v �'� 'v�� �.�, �SII�� <br /> �G�a���` <br /> USE OF BUILI�Ma HEAT SOURCE I CONTRAC?PRICE OF WORK <br /> /f� � y .t` <br /> �c.��s%��V�/rL _Electflc �-S�s^Othor � } d!9 <br /> WORK DESCR�PTION <br /> G�3�'�1/UY/tG� 1�717K�rOit'% � �f//9/�Z ���-%LYL <br /> ` PLUMBING MECHANICAL <br /> NO. � TYPE OF FIXTURE OR REM NO. TYPE OF FI%iURE OR ITEM <br /> Tollol ' A/C-airhandlingunll6 <br /> BathWb �� �- Forced alr systems <br /> Lnvntory,rwash 6asin) Z Gns plpinp <br /> _ Showor _.f Waterhoaror <br /> _ _ K�ichen stink&dlsposal Gas freplaca <br /> _ Dishwasller Gas renge <br /> Clnthes�ashor _. Clothos dryer <br /> Lnundry�ray Rnnpe hood <br /> � Sink(seryiculbadmoplolc.) Exhaust fnn <br /> _ Back(low!provonle� Heat pump <br /> Urinal � Unit hoeler <br /> _ Drinking Founlaln Bailor <br /> _ Floor dra�n Rotrlgeruqon <br /> , Gro2so t ap Woodstove <br /> Rooi drains Olher <br /> Othor _._.._ — -�� <br /> . CITV�F EVERETT LOCAL BAlE6 TAX COPE IS J705 <br /> I here6y terili(y�hAt I hev0�oatl and oxamined thia applicntian und know iha same to be trua And corroct. All provislons of laws and <br /> ordlnace+s yovor4iing this typo of worK wlll pe compliad wuh whother spoclfied horoln or not.The granGng ol a permit does not presume <br /> :o give autho ' ' violnto or cancol the provision a(any othnr state or loc�l low roflulntinp construclion or the peAonnance ot I <br /> conetruc Thg I am nuthorized by Ihe owno�of thle proporty to peAorm lhe work(or whlch application is m2do antl I comply with tha <br /> State Nruc s LA�v 18.27 and 2 200 WAC. <br /> �� � � � �-g- O) <br /> Signaturc or(S��InedConirectoUAuthorizoc79Cgent p91n <br />