Laserfiche WebLink
Aug 21 09 03 57p Weshington Water HeatEre 4255726781 p.2 <br /> PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV�RETT,WA 98201 <br /> 425-257-8810—FAX 425-257-E3B57—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> SITE AODRESS PARCEL TA%I.O.# PERMIT q <br /> �r �a� Pr � � � � t�+a,o� -03�} � <br /> I.EGAL LOTNO. BLOCK TTRACTORSUBDIVISIONp <br /> DF.SG I <br /> OW(dFfl ADDftESS CITY/LP FMONE <br /> � �Aun�ih�Y�N--�l ios�� �i5�- �rc�r�H �"�o� y�aia-9�c�' ' <br /> TCNANT NAME ('ONTpCT Fp\R V@RMR� q10NE Q�� �7�� J�$— <br /> I�JC1CU �IJ�.I'1r��S E.�A��.hefcva.,'e��y cu �_' v!i �, <br /> CON7R11ACTOtHn�/�-�7,-1 �1 /—n �/��1�/�- �i��� <br /> WII�7�I�VI� VN �Ui17C.!`/YUI� •-+-7 D � Zl�ll ��'I�C/ S Y 1 I Aif'�%-yv_ <br /> �t l �C f1 cT. 7 �� <br /> �«—�te1L�Ns��K�P --- /�ellC vu� l,U�z 9S�ia5 �5�'8 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE F WORK �� <br /> f `^ <br /> r ����k:(�`1(�Q __ J Giactnc �Gas__ OUier �� i <br /> WORK OESCRIPTION � <br /> �'�'����,�� ��� t r�� s ��.����-l�c�--�!' <br /> i � PLUMBING MECHANICAL ' <br /> � NO. TYPF.OF Fl7(TUf1G Of11TEY NO. iYPE OF FlXTURE Up ITEM1t I <br /> __ Toilcl NC-air handling uniLs �-'— ---- � <br /> _ ' C7�thtub Porced n�r systems <br /> ' __- Lavrrtory(wash hasin) Gus P�V��B � <br /> _ Showcr � Watcr hoaler I <br /> __ M.Itchen sink 8 dispnsal __ Gas Greplace I <br /> _ Di,lnvasho� Gos range <br /> �__ Gott�wa;lwr � Clothes tlryer � <br /> _ . W atcr heatci Ranye hood � <br /> � __ Sink p:erviceA�ar/mop/olcJ - Exhaust lan � <br /> _ __ ifackllow preventor Fleal Pump I <br /> __ � Udnal _-- Unil I�entcr i <br /> .. Ddnkkl�FOUOt:iin �OiIC! ' <br /> _ �ba dra�n RelripMatia� � <br /> __ Grr.asotr�p -- WooUtilovo �, <br /> .._ Raol drains Olhcr ! <br /> I _- Ullxxr ----- .__ ... - <br /> -- I <br /> iCT'OF EVEpETT IOCAI SALES TAX CODE IS 3105 i� <br /> I hr.reby cerilAy 17�at I Ivavo read an�1 e■amined Ihis:y�iicatim and know the same tn be Irue and wR¢et. AU provisions ol laws and <br /> o�dinacas goverrnnq 1!ii� ��Tr.M wnrk wili be cotnplied wBh vAin�her specilled fromin or not.The praNinp of a porm!t does nnl presume �' <br /> tu yivu nulhonty to viololr.o�cnncc�the D�ovision ol ony mlwi r.talp or lopl law�egulalhy�wnstruction or Ihe perto�mance ol � <br /> cmc,Uudion.That i am authexl:ed the ownc+d is properly lo pedorm the work tor which applicali�n is made and i comply rnlh 1hrt <br /> :;L� nlr�ctors L ew t8 7' PG V a �tl 796.200 C. <br /> � �.1�.E.� l � �,�u� � Sz/-C`� <br /> Sh wm ol vncri N . :lo AuthonzeA Agent atc <br />