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Dec-07-09 08e13A / P •OZ <br /> .._,. � .. .__ ._.... . . ..--} ----- '_��i <br /> � PERMIT APIPLICATION i <br /> CITY OF EVER�TT PERMIT SERVICES '� <br /> 3200 CFDAR STREET, �VERETT, WA 98201 I <br /> 4�.`i-257-5910 - FAX 425-25;'-U857 --unvw.evereitwa.orc� <br /> APPLICATIONS ARE ACCEI'TE� FROM 8 AM TO 4 PM <br /> _._.._ ..._..., i <br /> --- --.... --------.......... . . ...---.. . .. <br /> � SITE ADORESS PAR�EL TAX I.D.# I PERAIIT N � <br /> I�OA�/� Np. �'�/7 C�9LOGK� TRACT UH SU 3UIVISION#•'— I � �j� ' � I. <br /> � , <br /> -.--I--1---- -- _ ______ . . i <br /> ' oesc� ._.. <br /> U\vNLK� AUDRLSS GITY2IP � � PHONE � <br /> �. , <br /> . — �,z s`-3 �'y- z•'>` J <br /> i : ���j/i'�•t7 J O/� 6- ���ri ?� -��.'�'i��. ' `l�'•-'t'1_ <br /> --- -- _ _....----.._. _. . I <br /> TENAN f NA1dE I CON7 CY FOIt PERMIT PHONE <br /> E-MAIL <br /> .. __C._' ' ___ _."" I <br /> cor+Tr;n�To� �, auuHEss �I'Y>YIP--. hHONE --�-- , <br /> �'S-'//.��r�T�' l N��3 5� Jr"r"''�� ;��' ��`'r"'�J`��'C �/1.�- Z5I—.c'_l�'� I <br /> � CONTR IIGENSE� .. � � C ) • <br /> � ---- _c f'� �/.�o�f a /�?-.. �v�<��-Z� 7S°/------- <br /> USE UF fi DING NEI�T SOURCE I CONTRACT PRICE Of�YORK <br /> r''��! `?� <br /> PS �[Ir.�.lrir. __ Gas___ U(her 5 ,� � <br /> 1VORKDESCRIPTION ". . . ._.._..__..._.--- --- i <br /> I <br /> i ��lr C �� �:i ���r ��'C.� C� ��- /�;•r.��r i-,� I <br /> r/ <br /> —.-'•'-"-... . . ......-"'---- � <br /> PLUML3ING ` MECHANICAL 'I <br /> NO. TYPE OF HX7URE OR 11'Lfd NO. TYPE OF FIXIURC OR ITEM � <br /> — ----"---"----..__..___.__.. . .._._ ..----...._. ....---'----.._. ._.__._. . _....._...-'----_._.. <br /> .__ l„iL:l G�'., NC- �ir hundliny unilz � <br /> __ IlEdhtul? Forrntl air SysiCmS <br /> Lava�ory(��,�ash basm) Gas pipin� <br /> Shuw„r Water nea�er <br /> � _ ICiiChCn Suik & r1iS���U:i�l G25�irepiace <br /> Dishv:ashm' Gas range <br /> i — Clulhes v::uhei —� CWlhes dryer i <br /> VJalr.r he�ler Range houd <br /> � Sink(ticrviccibarimuprcic.� tzhaust(an <br /> _ F.:ichflo�u p�r,�•ynim _� Heal Uump <br /> _ Urinnl Unit hr.atr.r II <br /> Urinkiny Fwnlain Builer , <br /> Fluur drmn knfrigr.ralion , <br /> _ i;rr..�sr.tr,:P _ Woodstove I <br /> — - ftaol i:rnin�: Othet _ � <br /> ... Ulher . . .. _ _ . I <br /> ....,. . . . . . . .._. _ ._....... _ . .. . _ � <br /> ._._.._ _ _....__ ._._. . ..'-'-...__...-- — -... _.. .._._...' --.. <br /> � CITV OF EVERE7T LOCA4 SALES TAX CODE IS�tu5 <br /> � I h'rn;liy r,rricily U��ai I havi. ri�ail(1111'I Y,F�i011Ptl1I UUJ Ci�)�IIC:IIIU(1:1111�I(f1UY!(IIC SJfT1E tJ bC(fUC:111(�(:OflOf.I. All�)10�'ISIUOS GI 19»:tl'1J <br /> ord�nacas yavr.rnma Ihi; typc nl wnrk will hc:cnmplintl with whrth<+i SpecifieJ herein vr nuL The gr�nliny<;1 a pr.rmit ConS n0t p��;uine <br /> i to yivu �iuthualY lo t�iotalo ur can�:cl thc:prm•isinn nt any olhr,�r Stata nr WCaI la�v ragulaliny cunstrucliun nr Ihc pr.rinrmanCE ot � <br /> � mn.^,;ructi,-,n, I hat I �m 7uthOri:rn liy�hC(n•;ne�Jf thi5 V�Gpmly lo {.�er(orm the v+urk for ti��hir.h appti��tinn i5�110Q8 :+nd I C��mVly wilh the I <br /> � tit,h-: Cnntrar • I �w I H.'l7 1:f:�1' 8��d ?98.L�10 1VAC. �� <br /> I � / <br /> .s' -'� �. �_ i.z - �G�� II <br /> -� . _ l/�t'� <br /> �ignatura�ot U���nr.rii:nnlr.aetin!Aullwn.eJl�uenl Date <br /> I <br /> �--� � ----- I <br />