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� ERMIT APPLICATI��N
<br />CITY OF EVERETT PERMIT SERVICES /. ab-07
<br />3200 CEDAR SIREET, EVEP,ETT. Vc'A �8201 �.,/'
<br />42�-257-SE;10 - FAX 425-257$857 - v,tivw everelh^;a org � � � , �' � �.
<br />APPLICATIONS ARE ACCEPTED FF.OM 8 AM TO 4 PM `��,i, (� (���U(j I
<br />S�iE nDURG55 � l�„ ' 1' � f 1 1 1 �'� �,��,, ..--- PARCEL TAX I.D. p � P f�11T p
<br />�i�S?���+'---\�- ���--�].i+z�E uC O1�_�=_91' CO'l � CO � il�I�
<br />... � ----- ' --
<br />. LOTNO T 6LOCK TRACT
<br />--l'i_. � I t,ti�.n�,�t� _�_PPC Set�c�et�_l`1�4`_`r��'"' __'�S_�a^�-��1_E W.PZ_�_
<br />O�tiN6R C-��/IdW�T+�KW AUDRESS CITVZIP PHONE
<br />��.�1a�2 Crt��0..`ir�>� 4Lf 1lC`3:1-?�y��(�Ve SE �J11�eU ya5 -�y�,- ���g
<br />----- -- - -
<br />qBei�
<br />TENl.NT NAfdE � CONTACT FOR PERM11iT PHC,NE
<br />I� l.�w� I.ESS�� `laa' 713- lll�
<br />------ _ __ _
<br />CONTRACTOR � AODRESS t* CITY2IP PHONE �
<br />A��u IRE���ei2�R�sr�,�� 1"103�'is A�r se �:�t�.:re ��s -7�3-�,�x
<br />CONTR tICENSGa �$ci1)�
<br />.. __ . _.-- -___ _. _. __. _ .__ _ - - _ ____ _ _-_-- _._ ___—___—._ — ___
<br />US[ OF PUILDING HEAT SOURCE
<br />a�ny�� ��ry;,1� rcr•�,.a�„�
<br />Elec�ric ✓G;!s plhrr
<br />__..__ ._-_ _ . . _.._._. _-- .
<br />lh'ORK D[SCR:PTION
<br />i' ewa �l.a-.� -1 i e,.- .,� •�w..t cl.� !«�+�.� P.n.. �A c
<br />PLUMBING
<br />r+o r�rr or nxiu�ze �re nFna
<br />� �—
<br />'� • �,i��
<br />i
<br />y . �. ��b.�ry (wesh baein)
<br />; ,,, �
<br />I �.' '�en SmV. 8 Aisposal
<br />� : ,:,isher
<br />� . ���•s washcr
<br />� .. � �� nealr.r
<br />� � �.�enice%b2nmo���elc.)
<br />I '- � � i�aw preventm
<br />��
<br />. , m �n� Founlain
<br />I �"ar arain
<br />;rPTSP. Ifdp
<br />�� nof drdins
<br />ithe�
<br />� CONTRACT PRICE OF WORK
<br />I� � 7 p� CJcI.��
<br />(.� u-D.4.ci i-4� �. � 10
<br />MECHANlCAL
<br />NO. I TYPE OF iIXTURE OR ITEM
<br />- .. - av handluiq un�ts
<br />� i��;red air systoms
<br />� .;es pipin9
<br />� ;.,d��r healer
<br />( ��.I.i, hreplacc
<br />� ,,,, ranyc
<br />I � i^-Ihes dr}�or
<br />--� RanyehoeAll✓I�Reu
<br />S Erhausllan
<br />Heal purn��
<br />Unil heater
<br />Boiler
<br />Relriyeralion
<br />Woodstove
<br />O�hof
<br />CITF iii EVFRFTT IOCAL SALES 7AX CODE IS 7105
<br />�:ure�y centdy Uia( I ha�;e reaA n�A �zamined th,, applu.atiun and F.no�v the saine to Ue true and correcL All proviswns of laws ���� :
<br />-a�naces govemmy Ih�s type ol wo�k will be compfed �yith whelher specdied here�n o� nol. The granting of a permit does not pr«��,: ���
<br />i� yne authonl�� lo viol,3lr or canccl the provision Of any niher sla�e or local law rec�ulahng construdion or Ihe perlormance of
<br />�rsr,�� !�� �n 1 n,3� i n��, ;iuu,�,r�,-���1 !�, the owner ol this property lo perform Ihe �verF lur which a, ppcauon is matle an�] I compl, ��..;^� v�.-
<br />.,. � r,� � �• _ ,.. . ' �.��.': ,�na 29620P WAC.
<br />�:.�..: ��51_ l � a"L\_o W_
<br />. . .-�� � `.,ith.�n:<�.]!,-�enl Da1e �
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