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tt- •�- e s� <br /> 'l . . . � <br /> � <br /> I <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERV(CES D� 'G� ' <br /> 3700 CE�AR STREEf,EVERETT, �VA 98201 <br /> 425-257-8810—FNC 425-257-8857—vnvw.everetiwa.org ��'� _ i <br /> � ) � �� <br /> APPLICATION8 AREACCEPTED FROM 6 AM TO 4 PM -DEBIT&CREDIT CARDS Akc NOT ACCEPTED � <br /> SI7H AD�RESS � � �,,,-� PAR EL TAX I.D,# PERMITtt ; <br /> i9or M�,w`� c�/� t�na �j6 �_p O S�`- '/ <br /> LEGA - �OiN�� 60CK� iRACT /� �j�7 /,, i <br /> DESC. �-/Qv � /D � �vZOD <br /> O W N E R ADDRESS CITYILP PNONE � <br /> _F��Et$LpH��NT 4.y. 55/O MOPEfbvSE tl�. St��Zeo sANA'� U 92/tJ � <br /> TENANTNAME CONTACTFORPERMIT � PHONE i <br /> FF tBv�'MSNTG.P. I G� �EV��o�1�i�'T G.P. 858 4�7 2/z3 <br /> CONTRACTOR ADDRESS CI7YIDP PHONE I <br /> CONTR.LICENSE# i <br /> i <br /> USE OF BUILDINO HEAT SOURCE CONTRACT PRICE OF WORK � <br /> �.���r��//�/�.�j I �Electric �Gas_Olher I�,,,(J����0.� 'f' . <br /> WORK DESCRIPiION ' <br /> ,8-3 sTcR�Yh�'i1�TME�rT s�.vctYi✓65 a� �,^. /- ; <br /> , �,� <br /> _ ; <br /> PLUMBING MECHANICAL i <br /> NO. TVpE OF FIXTURE OR ITEM11 NO. 7YPE OF Fl%7URE OR I7EM <br /> i <br /> Tollet • NC-airhandling units <br /> Bathlub• _ Forczd airsystems <br /> Lavatory(washbasin) � Gas i i <br /> Shower P4� � <br /> � Weterhealer• � <br /> � Kitchen sink$disposal �,:'�� _ _ Gas fireplacs % + <br /> Dishwasher• :�- Gas 2nga � ! <br /> �(G qothes washer• / Clothes dryer• � <br /> ,^ Laundry Uay :'� - � Range hood • � <br /> _ Sink(servicelySr/moplela) � Exhaust fan• i <br /> __ �acktlowprfventer Heatpump I <br /> _ Urinat . �� Unit hea - i <br /> Drinki�g Fountain goi�� � <br /> Floofdrain Ref' eratio� <br /> I _ Grease trop _ odstove <br /> ,Roof drains Iher <br /> �j Othor — <br /> — — 1 <br /> t <br /> � . GITY OF L/EREIT LOCAL SALES TAK CO�E IS 3106 � <br /> -- 1 <br /> I here6y caritify that i have read and oxamined Ihis appl!cation and Imow Ihe same lo ha W e and correcL NII provisions of tows and <br /> ortlinaces goveming ihis fype of wmk will 6o complied Ndth whether spedfied herein or not.The grenting of a pertnit does not preeume <br /> to give authorily to violalc or cancel lho provision of ony ofher stnte or local Inw regulaGng wnstmction or the padortnance o( <br /> constru ' t I om uuthodzed by the o�Hner of this proparry to perform the work Por�vhich appiical'ron is made and I comply wlth the <br /> Stat ontracfo Lo a 296200 WAC. <br /> ,�__ ��—,. ✓'�'/ �D`i' <br /> Signa ure o onlraciod ul onzedAgent ate � <br /> �i�M.�+�1s Ms+ � <br /> � <br /> � <br />