Laserfiche WebLink
Oct 25 11 02:28p Washington Water Heaters 4257461563 P.1 <br /> ( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT P'ERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—uvww.everettwaorg <br /> AP'PLICATIONS ARE ACCEPTED FRaM 8 AN TO 4 PM ( b "�-p�-�I - <br /> SITE ADDRESS ' � PARCEL TAX I.D.# pEqMfT y <br /> 1505 ��`� �-,SF � � D6 �'DD � � -ot� <br /> LEGAI LOT NO. BLOCK 7AACT,7q SUBDIVIS ON C . <br /> DESC. <br /> �O NER n ADDRESS CITYlLIP , PIiONE <br /> G#,rl r C�'_ L.l�-F�ld l��U 5 �3� flr SE �w�ti��zG� <br /> TENANi NAME . � �pCT F R PERYIT� PHONE g�O�C17�� bY <br /> �V� I�JG�.CI�.(' �GU2(��S E.�,�a�.hafw�t{ev�/ au� <br /> W ftSN I NGtTD� !�/��2Y-��� ° I`�U e�.cv s �g�_ 'orn <br /> c���RSf-�t�� 9�f0 �P ��e�ue I,�Q 9ttia5 ��g <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> r�es�de�-�c�. I Electric �Gas_Otlier <br /> WOHK DESCRIP'T10N <br /> L �1Gi,� r� 0�.,�- � �rz�� c��a.� �'U2a.-�� <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FlX7URE OR I7EM NO. TYPE DF Fl)(TURE OR I7EM <br /> _ Toilet AIC–airhandling units <br /> Ba�h[ub Fcrced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower � Waterheater <br /> Kilchen sink 8 di,posal Gas fireplace <br /> Dish�vasher _ Gas ranga <br /> _ Clothes washer Ciolhes dryer <br /> Water heater Range hoad <br /> Sink(service/bar/mop/elc.) Exhaust fan <br /> Backflow prevenler Hea[pump <br /> Urinal Unit heater <br /> Drinking Fountain Boller <br /> Fioor drain ReMgeralfon <br /> Grease traP Woodstove <br /> Roof drains Other <br /> Other <br /> CfTYOFEVERETTLOCILLSALESTAXCODE1S31U5 - <br /> I heteby ceritify ihat I have read and examined this application and know the same fn be true and cortecL All provisions o1 laws and <br /> ordinaces governing this type of work will be comp�ied with whelher specified herein or not.The grentfng of a permil does rrot presume <br /> lo glve aulhority to violale or cancei lhe pmvision ol any other 51ate or local Iaw regulating consVur,tien or the pedormanco ol <br /> consVuc'on.That I am authorized by Ihe o•xner of th{s property to pertorm the work for which appGcalion is made and I compy wilh ihe <br /> 93�Conlr lors Law 1 B 2 C and 2�96. 0 WAC. <br /> � �� � � � ra -z�-i <br /> SignaL+e ot Owner/Comra todAuthorized Agent ate � <br /> �Q(�,9�Q l,l�-�- � llr1�'D � C�l7T1tI�C('(1��C�t� ��f�f�� � �,OTI�C <br /> -�c,cM�i.�r� _ <br />