|
f, J1
<br /> YY�h �.VU� 4C� GB I OGD 1
<br /> JUL'l4'UO ItlU IC� IJ YII CVCKCII I'CKI'lll JCttY1l,C� —.—,—___� _�
<br /> '
<br /> . _.. __.. . .. . . .... .__..,
<br /> ..__. ._�. __.._ .
<br /> � pERMIT APPLICATION
<br /> � CITY OF EVERETI' PERMIT SERVICES I
<br /> i 3200 CFDAR STREET, EVERETT,VVA 98201
<br /> � 425-257•8d10•-FrUC A25-257•8857-wvrv+.evcre;tw2.org I
<br /> I
<br /> IAPPI_ICA'f I4NS A�tE nCCL:FTEC] FROM 8 AM 1 O 4 PM -DEBIT 8 CR[01T CARDS ARE NOT ACC[PTED
<br /> � _. ._—'- —_...._..._—._—__--_�.' PF.RId1T
<br /> I --..,__.._.-�:. � PARGE�TA%I.D.� / I
<br /> � ill�tf.l"iGi3:_SS � �".Y� • .[.� � (! (.� �J� ' �
<br /> �
<br /> , ��,� �� ����� ��.����� t_._—. � ��1�c, � ,
<br /> �._.�__ �Ll)CK THnCT
<br /> I L(�,G�L111 �uT :U. .
<br /> � 11`:_C����' �1 � I � � �TTi11P pK� �j(,i �)
<br /> I . ..�_".'_'..�"""___"_—' AOUHGSS
<br /> a1'v�:i.r.'__ � , �� o.L�/, • �L,'�.c�4��.-�t7%7C`JSI
<br /> � ��L1SSL'�� I1ISF _IC�_f�UX II�-_���/.� �i-�l� ` — ---'-- PNONE—
<br /> � ��CNANTt1Ah'I': ' CONTACTF�RPERMIT
<br /> � � . G� �-._!._— `
<br /> ..___.�-�_..__'__��_ PNO`lfi
<br /> � _�_'_'.....__...._....._-.. ___.._ ADDHF.35 CITY(ZIP
<br /> CONI'R:�GTOR
<br /> I r.o�iuc-ur.cus: r; - --- �--- ------ --- - .---------�—
<br /> �ISG UF HUIL�!1•1(3
<br /> NEA7SOl1RCE I CONI�RACTPWCEOF\4�RK
<br /> I --El�ctnc _Gas_._Ot�sr __��,_..__ I
<br /> (.f r>> � �L. . .......__....._...--.. _.�.--..._.._._..�--� .
<br /> ,.lORK DFSCR��TinN I
<br /> �� ,��. ����c �x � 51i��c �3�.�, , l�G �� --�--- �
<br /> I ---_-• --�—' MECIIANICAL
<br /> i _---.�.. �._. .__._, _.....I�l.Uh1E31NG --
<br /> ` NO. 7YPC Of FIXTURE OR ITEM
<br /> ���� T1'YF Of ilX1URE GR ITGM ----
<br /> l' ..._.._.__- --'--'--' ,��`air ha�dlin9 units
<br /> i � , Ti�l;2� -_ FCr�CJ air s slem5
<br /> i __I [laihbiU _ Gaspipin9
<br /> I ..._ _ Lm��lurlP,vashl:n::in) �_ WafarlW�tC�
<br /> Sno��u•:r Gas firepl:icH
<br /> � ....- I:itchr,n ei�v�A Cis1�7:;:.1 --- C,,c ranyii
<br /> � � . � Dich���::�.:h,:r Clottesaryu �I
<br /> � __.' ('.1o31i�s�.V�chef Ranre McOd
<br /> � _..__ I;d,nd,yL,�Y �, Exnaustfnn
<br /> ��nY.(a,:r.lco�h:v:n�.��•h:t�:.) Ha�t pum,
<br /> I �_., � RgtAC:c.v p;ovcnLtr '—� Ud�t hca:ei
<br /> i _— lli���vd _� [iol'cr
<br /> I ._ Uiird�.inpFourt:f!n _ � Rairigerotion
<br /> I ,_ f'kvrA�s��� -- Nocd°trn�e _—
<br /> r
<br /> litth.>.0 IfAD QU1el� �- —
<br /> _._.. .__ I
<br /> � {�pq(�Ir.li05 _.
<br /> '_._ '� —
<br /> , •. o�bcr .__... _.__..___ _,.�
<br /> , -__ . . . .-._-' - —'
<br /> , . '-' .. .._. ._-- `_ _�_---- I
<br /> __.
<br /> . .�..__.__..
<br /> _ �_ _—..--
<br /> ; .. .—_.. ____'—...--.
<br /> _.. _.�..--._.._....._.�. ._._ . GiN OF CVEREI'T LUCAL SALES TA7(CODE IS 1105 _�.___ —
<br /> I .�- .._�..____"'_'_"'. __'._`..�_'.�-__--�
<br /> �� i lior,:by cori;;fy C�z!I h�vc��i i:��d�Ydll tu�,ccmpl'P�d wi h�r�n^thx a�ucif�Oshcrin o not�Th_�g 3nGn;7 of a'Dc�mit da:s not�p esNno
<br /> , ord;uaCua V1Gvr,tt.:n�IIii91Vl ` P
<br /> IF:�r�irc;,idl�,ori�y t�i tiioC�in or c,-a��.>:1 lho p�rnr:l��n ol any ol:,oi1 t�,'F°��or nf+l,a wo9k or vd ich�PI�`-o�on ts'�3do and I[omDly"^11�!ho
<br /> cun•tv�:t,on,11t51I;�oo�dhud�cdhyU���nwn:roll�'aGro. � yt� G�
<br /> �'f.1L)Gro�fBGl�i1Y l��H tit'2%((CW:;i'���i�U.26�N//'.�..
<br /> I � � .._ �� �-3�_�`�6 � .
<br /> � (:...r.wJ_J:C�C.._..�Zvz� �y.�j„ �..._� --GPIe — --- ._'—_-----------`_...
<br /> ,.I u1:Aurt:e�lS::.�ri;i�u�itr:icinAAT.lniuvnil��r.iY[
<br />
|