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RENO <br />PLUMBING PERMIT APPLICATION <br />CITY OF EVERETT IT SERVICES <br />EVERETT <br />SUBMITTALINSTRUCRONS: Crop part w"cMora pDlad paperapplkallon to 3200earStmot2nd Floorinlaka Drop Box <br />WAUHINGTON <br />CONTACT INFORMATION: OF) 4MM7.8810I(E) I ON)evere8wa.yov/permNa <br />(Stye or Black Ink Only Please) PROJEC SSITE INFORMATION <br />PRC.IECT SITE ADDRESS: suvau S$1 & YZIle) = Ak"4 PARCELM <br />SUITENNITIlk: FLOOR <br />ADDITIONAL LOCATION INFORMATION: <br />TENANTIBUSINESS NAME Of non-resMenVal): <br />CONTACT INFORMATION <br />OWNER NAME: <br />OWNER MAILING ADDRESS: slasur <br />OWNER PHONE: <br />OWNEREMNIL: <br />CONTRACTORCOMPANYNAME: M / Ono <br />M, <br />LIr/4l/j/1VG <br />WA STATE CONTRACTOR LICENSE MREOOIREOI: Mk <br />L4V30 <br />CROFERERBUBINELICENEMEOuIRA):2A)CE <br />CONTRACTOR ADDRESS: maaT 33// 36 <br />vr� s <br />care 2z <br />m7rE 2p <br />O2f <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARYCONTACT: ❑OWNER ErMNITIACTOR ❑ OTHER (Mane Specify) <br />cow NAME: Ds� <br />`(� GAL �� <br />CONTACTPHONE: ,f 77 / 3l <br />CONTACT EMAIL: Alef9A/O.k-N(& <br />PLUMBING <br />PERMIT INFORMATION <br />YAWATIONOF WORKS 0D00 CG <br />ASSOCIATED PERMITXIra kabb: 2IO <br />—O <br />e eN dues e M <br />BUILOINGTYPE: OSFRaaCIToamath a 9'Du ex aDAOU <br />wmpbla Navcf MMaxxlMbp <br />omuIO.Famfl -p UnBe: OCwnmemlal DAccaeeo Slmtlue <br />DESCRIPTION OF WORK: (l,,LL <br />CI-fgl✓UP N.9cF 0/= <br />19".q/o.)6 /N HOMIi <br />PLUMBING PERMIT FIXTURE <br />COUNT (SCOPE OFMIORIQ <br />Flores <br />proof <br />yM <br />LbfaLFhNns <br />Fortune <br />count <br />O <br />Lllar Fhlrrca <br />evOsvle BUIM <br />FfraSrIcE3DCDA D:m,,QaServlw:[1WSAE1DCVA <br />Sbwrer,Tlugvcombo <br />s el Sink (3we Lprep. floor) <br />CaM1ss Was <br />eeIdental5lakteleran.feet Le) <br />DeM1wubar <br />l <br />flimlysInic oeoiry.mp <br />Dnnkang Fountain <br />mine <br />Few Dram <br />wwd <br />Iowa Bleb <br />Pl e k <br />Maker <br />Weler SeMre LFe &M1IM meHp prNale sMel <br />later hone <br />Gr <br />Sanwal <br />Wader Veatm-El <br />naeo po <br />lee s <br />Heaer-ElecYlc <br />mwlmlll <br />MWIOra ae <br />laaer <br />Hearerrk): <br />ROwpmlaa <br />aMC <br />aberluar Dame <br />EleaWrpumysurry rump <br />a12r 1Ual way <br />Cry NEYeM110I1fltlflrnVe/se Only <br />PERMIT GZZ C) 00 <br />rare (Mwsao wee" <br />