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01-21-' l�9 17.:52 PROC1- T-243 F002/0(�5 F-973 <br /> � <br /> _ __ 1 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER[TT, VJA 98201 <br /> 425-257•d610 - FAX 425-257-8857 -vn•nv.everetbva org <br /> APPUCATIONS ARE ACC[PT[p FROM 8 AM TO 4 PM <br /> �I SITE ADDRESS PARCEL TAX I.D.N PERMIT N <br /> 4934 VESPER DR 00611100003900 /IU`9El 03i� <br /> �ecn� �orr+o. o�ocK rRncr <br /> DGSC <br /> OwN[K ADORESS r,ITYIZiP PNONE <br /> .JANELL PGARSON 4934 V[SPER DR Ev�F�TT.:'��o� q25-374-7113 <br /> TENANT NAME CONTAC7 PUR PEtiMiT PHUNE <br /> INaida Khan 360-945-2787 <br /> �. CONTMCTUR WESCO ADOHESS ��TM,z�o P��a��� <br /> 2�00 Thorndyke SEATTLE 206-378-6649 <br /> � CONTR.LICENSE#WASHIES�7�IOB <br /> USE OF 6UILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR I _E�earic �Gas_Ot�,er 5732.00 <br /> � WORKDE3CRIPTION <br /> INSTALLING AN OIL-ELECTRIC 3 TON BRYANT FURNACE <br /> PLUMBING MECHANICAL <br /> ryp. rii'E OP FI%Tl1RE OR ITEM NO. NPE Of FI%TURE OR ITEM <br /> Toilet NC-a�r handling unics <br /> Ualhtub + Fbrced air systems <br /> � Lavalory(Wash basin) _ Gas piping <br /> Shower Water healer <br /> Kitchen s�nk&disposal _ Gas frepiace <br /> Oishvrasher _ C�as ranye <br /> ' Giolhes washer _ Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(scrvice/barlmop/r.tc.) _ Fxhausttan <br /> Backilow prevonler _ Weat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain Doiler <br /> I � Floor drain = Refrigeralion <br /> Grease Irap Wootlslove <br /> Roo(drains Other <br /> Other — <br /> i — <br /> CITY OF EVGN[iT LOGAL SALES iAX CODE IS 0105 <br /> i nereby ceri6'y that I have reatl and examined Ihis appi�u�Uon�nd know tne same m be true anU coired. NI prowsions of iaws and <br /> o�dmaces poveming this rype ot work���il be compl�ed w�th whether speci5ed horein ur nol.The granting ol a perm�t does not presume <br /> � �o g�ve author�ty to violate or cancet the provision of any clher state or local law rn9ul3t�ne conslruction or the peKormance of <br /> i <br /> I censtruction. Tnat I am authurized by the owner of Uiis proDertY to periorm the work hr which application is made 2nd I wmply wdh ihe <br /> I State Contr3ttor .aw 1827 W and 286'�00 WAC <br /> i V ✓ ��� � <br /> Signa- lure o� wnerlCopt a tor/fwihor2etl AQeN �a� <br /> � <br />