Laserfiche WebLink
RECEIVED 08/01/2007 08 14 01 ADEFT MECHAh1ICAL SER <br /> OB/Ol/200r 09�. 17 FAX 425 �5��857 EVERETT PERMIT SERVICES� �002i002 <br /> _ r....�— _ . r...-.. ��.�>- ..t--� .y-r,v*�' y` ",--•+qs�'ti�r- �TT'-.� <br /> ' � .. `.... . . . . . . . <br /> PERIMIT ARP�t"GATION <br /> CITY fJF EVERETT PERMI7 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 �—�'�7 <br /> SITE A�DRESS �O`j Z � 19 '�' hvc Sc PARCEL TAX LD.N PF,F#MIT#� <br /> Evc��bt W,F 9�2�i pG57 ti'70o2C01 O I - �I � <br /> LEGA LOTNO. BLOCK TRAGTORSUBDIVISIONp <br /> pESC. <br /> OWNER ADDR[SS CITY2IP PHONE � <br /> CF� �U�GI/� �'�u t,�7 �'U l3cx. 13%Z 13��fiPrsF�cl�1/ j.3jo� <br /> TENANTNAMc I CONTACTFORPERMI7 PHONE 2cL .3��� 7fG„$ <br /> JO�� ✓1 �G� cl ��(— 6MNL <br /> noone citrr>_iw v <br /> �1t,�epr I'Iecl,�c.� �Cci � ��� � �es, 7.�c. 3S3 Y5U <br /> CONTR.LICEN9EN ^% �SGr' �:c.' C�. t�C�af(�i�C.'/ �" l � <br /> (a. 11 'f�— "/YSGS - <br /> USE OFBUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> (��.,,�J �C,�e.� c�. <br /> o� <br /> J�L�� W Elactric _Gas_Other � S, 6�. <br /> WORN DESCRIPTION <br /> R�wu�l� -ho -`._cT'cr , > ., IcS <br /> H��h�� <br /> PLUMBING MECHANICAL <br /> NO. IYPE OF f1%Tl1RE OR ITEM NO. T'PE OF FIXTURE OR ITEI,: <br /> Toilet AIC—alr handling units <br /> Bethtuh Porced alr systems � <br /> Lavatory(wnsh basin) � Gas plping ' <br /> Sho��er � Water healer <br /> Kilchon sink 8 disposal _ Gas fireplace <br /> Dishwasher Gaarango <br /> Clothes washer � Clothes dryer <br /> Wator haator Range hood <br /> = Slnk(servlce/badmopletc.) _ Exhaust fen <br /> Beckflow preventer Heet pump <br /> Urinal T Unit hea�er <br /> Drinking Fountain _ 8oiler <br /> Floor drain R6`riyeration <br /> Greasetrap _ Woodslove <br /> Root drains Other <br /> Ulher <br /> GITY OF EYEREI7 LOCAL SALES 7AX CODE{S J705 <br /> I haraby ceritify thal I ha�+e read and examined thls epplicetion and know tha samo to be true and cnrrect. All provisions ot laws and <br /> ordinaces goveminy this type of work will he comptled wilh whelher specifiod herein or not.The gronUng of a pertnil does not presume <br /> m pivo authority tn violate or caneel the provision ol eny olher state or local law reyulating u,nstrucclon or tho petformanco ot <br /> ConStruCtion.Thet I am�.utlwrized�hy l�e owner of this property lo pedorm the work for which applicatlon Is made and I compiy�th lhe <br /> Stata Conttact�rs'Cuwt837 RCW f�nd 296.200 WAC. <br /> i � � <br /> ` — __`_ �� l � ,I � 7 <br /> SignaWroo wnodConlrec� ihonznd' gant Date <br />