Laserfiche WebLink
FROM :E�ergreen State Heat 8 R� FAX N0. :4252596660 Rug. 21 2009 10:27RM P1 <br /> i <br /> PERMIT APPLICATION <br /> CITY OF �VERETT PEFiMIT SERVICES <br /> 320U CEDhR STREET, EVERETT,WA 98201 <br /> 425-2' 7-8810— FAX 425-257-8857—www.everettwa.org <br /> ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM // 3-D�g <br /> 91TE ADDRES9 PARCEL TAJC I.D.N PERMIT M <br /> r <br /> �zg as � s�. -o3a <br /> LEpAL LOT NO. BLOCK TRACT OH BUBD�VISION Y <br /> DE9C. <br /> � '. I YRIP PMONE <br /> S�-�ssr�;. /di�E�.7v/�/ sZ�'imS" ,rzS� S7 c�Ji ��i..1 `/�S - 73�- 09�9 <br /> 7ENANTNAME I CONTACTFPRPERMrt PHONE <br /> E-MAIL <br /> N <br /> �2�,m G 2�-✓ SY: S<f��r� /,a�7»G ���o� <br /> CONTH�UCBNBE M ZI Z'v �•9t./�/c/9� � V�2.s 'aSa ��YI/Y <br /> �v�-n�sso��- _ <br /> USE OF BUILDINQ I HEAT SOURCE CONTRACT PRICE OF WORK <br /> ,f7������`�� ,�Eleclrlc _Oas._Olher `�,j, �a0 =� <br /> r�, <br /> WORK DE9CRIPTION <br /> /�!/S� �� TJG� �TG�5"S dt� �'=�s�/� <br /> M N MEC ANICA! <br /> N0. � TYPE OF FI%TURE OR ITL`M NO. TYPE OR FIXTUHE OR ITEM <br /> Tollel _ A�C—elr handllny uNls <br /> Bslhtub _ Forced alr eystema <br /> ,_ Levatory(weah besin) Gas pipinp <br /> Shower _ Waterheater <br /> Kllchen sink&disposal _ Gas Ilreplece i <br /> Dlshwasher ,.. Qee renge <br /> Clolhes washar _ Clolhes dryer <br /> Water lieater _ Ranpe hood <br /> Slnk(servlcelbar/mopletc.) Exheust fan <br /> _ Backtlow preventer �. Heat pump <br /> Urinol _ Uni�heeter <br /> � Orinking Fountaln Boller <br /> Flwr dreln _ Reldgeretlon <br /> oraase irap _ Woodstove <br /> Roof drelna Olhar .. <br /> Other --- <br /> ' CITY OF EVCRET(I.00AL 9AL88 TAX CODE 19 7106 <br /> I haroby cerill(y lhel I heve read end examined this appllcation antl know the same to be true and corract. All provlslone of laws and <br /> ordlneces governing thls type of work wlll be camplled wlth wh�ther specllled horoin or noi.The prenlinp of e permil doee not preeume <br /> lo O��e authorlty to vloiale or cencel the provislon ot any other stele or local law reguleting Constructlon or tha partarmeneo of <br /> construcllon.Thet t em euthorized by tha owner of lhle property to portorm the work for whlch epplicapon Is matle end I camply with Ihe <br /> Siate C�kActo Lew 18.27 FiCW and 29e.2�0 wAC. <br /> �a� '�� "/2�/�� <br /> S�rie ure o wner ontrac er W or ze g�arn ate <br />