Laserfiche WebLink
RUG-12-2010 12:03 FROM:C&M HERTING 425-745-1344 T0:14252578857 P:2�2 <br /> � d. <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8510— FAX 425•257-8857—www•everettwa.org <br /> APPLICATIONS ARE Ar,CEPTED FROM 8 AM TO a PM � —�2 `�� <br /> PARCEL TAX I.D,u PERMR fi <br /> SI7E ADORE53 Zn�G2���O� � `� '��, - 1) / <br /> � ,�j '1 J <br /> ��pq LOT N0. BLOGK TRACT OR SUBDIVISION R <br /> DESC. <br /> DWN R AUDRESS CITY2IP PHONE '�5 <br /> a � �,� er 98?AGr z5z 3�' <br /> TENANTNA! CONTACT FOR PEFMIT PHONE L',Z.! .25q•(obb(o <br /> �� I �J�.{1� , 'J Nx^{�.rS E�h1A1L <br /> E55 Y/Z HO <br /> `' CM H-ecc4't t19 lnc, 1415 �r��ou-I �X^�2^� �{ZrJ ZSq fo(oFi6 <br /> CONTR.UCENSe rt� µ��� 045�4- ��w+ <br /> USE OF BUILDING HEAT SOUFiCE CONTRACT PflICE OF WORK <br /> ^Eleclric ✓Gas_Other �7j�,�p.Q <br /> WOHK DESCRIPTION <br /> ►2ur qasL�.r�e. � •�'vrr�ae:�,� Hzo . Ins�ull q5�'� ejas fvrnae� <br /> p,,r�,d, �iu�,K,1 e.ss �.�c�.�r h�a�r <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM NO. NPE OF FlXTURE OR fiEM <br /> Tollet AiC—air handling units <br /> ~ Balhtub � Foreed alr systems Q QS�Y't1 Lt C-4� <br /> � Lavatory(wash hasin) Z Gas piping �� <br /> � Sho�t�er � Waierheater <br /> � Ki�chen sink&disposal _ Gas(ireplace <br /> ~ oishwasher Gas range <br /> ^ Clothes�v25her � Clolhes dryer <br /> Wator heater � Range hood <br /> + Sink(servicelbadmop.�etcJ _ Exhaust fan <br /> Bachfio�v prevente� _ Heat pump <br /> — Urinat Unit neater <br /> � Orinking Fountaln _ Boiler <br /> ^ Floor drain Relrigeration <br /> � Grease trap _ Woodstove <br /> Roof dralns Other <br /> '— ome� <br /> CITY OF[VERETT LOCAL SAIES 7AX CODE 15 7105 <br /> I horcby ceritity thal I havs read and examined this applicafion and know Ihe same to be true and coRecL All provlsions oi laws ancl <br /> ordlnaccs governing this type of work will be complled with�vhether specified herein or not The granting oi a peRnit does not presume <br /> to glve authorily to violate or cancel the provision of any other state or local law regutating construction or the perlormance of <br /> constructlon.That I am authorized by the owner ot this propetty to perform the work for which application is made and I comply with the <br /> Stote Contraclors Law 1827 RC1N and 296200 WAC. <br /> � �,( � iIQ��C $•10•1C� <br /> Igna+ur. of OwneNContract r/Authonzed Dale <br />