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��r,'J-10-02 WeD 12:59 ��11 Fl" �1�1 PERM11' SFFVICES FNX N0, 425 7 8d57 P. 02
<br /> - PERMiT APPLICATION ,
<br /> I 4'�'ry`�,�
<br /> CITY OF EVERETT PERMIT SERVICES '
<br /> �._-- 5200 CEDAR STREFT, [VFRETT,\NA 98201, k25-257-8810
<br /> �� ^SITE ADORESS , PA�4CEL TAX I.O.N ` PHRMI7 p
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<br /> ! LEC4L L07N0. �LOCK pA�T F
<br /> GESC. _
<br /> ' ADDRESS � PHONE
<br /> � OWNER !
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<br /> � I CONTACT NAM[ � PHONE
<br /> ' TENANTNAMC I
<br /> ' CONTRACTOR i AUORE56 CONTR.LICENSE M 1
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<br /> PHONE � t� i .� ���i,}_> ��'Z�-�'�I I
<br /> '� (� 2S \ .�'�.ZL� - .� �''S�� :
<br /> �� (� Bullr,in echanical (] Aatlllion HEAT SOURCP
<br /> i ppOpqSE�USE OF BUILOINf3 9
<br /> , PERMIT f� Combination �lumbing WQRK I ) Auerauon ��u��
<br /> ' TYpE U DemoGlion U Sign TYPH [�] New
<br /> �� Sprinklef U RepeirlMainL Olhet
<br /> I CON7RACT PHICE OF WORK �'_" CITY OF EJERETT I.OGAL 5ALE5 7AX CODE IS 7105 I
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<br /> WURK DESCRIPTION I
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<br /> � � �<< �. L�) �l-rY-r�-. -}�t'r �-i 7-{ , , I
<br /> II p�UMBING MECHANICAL ��
<br /> Iryp, TYPE OF FI,`:7t1REOR REM N0. TYPL OF PI%IURC Oii I7LM
<br /> � WA"fEIiCLOSET NC-NHANDLINGUNITS
<br /> I l3ATIITUCI _ FORCE�AIRSYSTEMS
<br /> LAVPTOfl'!(WASH BASIN) _ H[AT PUMP
<br /> SHOVdErI _ UNIT HEATER 1
<br /> KITCHEN SItJK 8 nISF'03AL _ CI OTHEG DRYER
<br /> OISHVlASI�CR HANGE HOOD
<br /> �_ L,AUNDFY TRAY � VJATEH NEA7EN
<br /> � CLOTHESVJASHER 'dE7P.!FIP,EPLACFJSTOVE I
<br /> � � UR�NAL � FIFEPLACE INSEH7
<br /> � �R�NIQ?IG FdU�1TAIN � GAS FIRGP(1�CE
<br /> FLOOR DRAItJ _ �A� �1ANGL
<br /> �, �ACKFLGW PREVENTfiR _, GAS PIPING
<br /> _ SIhK(SERVICE/6AWMOP/E1'C.} .�_ EXHAUST FAN
<br /> I� -- OTHER----.........._�.— — OTHER
<br /> �� — ...._.�._ _�t- i
<br /> i1 NEP�EdV CEP111;V THAT I hIAVE RF.AO AY�EXAtdINEO THIS APPLICA710N AND KNOW THE SAME 7C Ge TPUE AND CUfilitCl. All �
<br /> HFOYISIUNS OF lAVJS AND ORIDIKACES GOVEHY�NG TNIS 71"PE OF WOHK WILL B[COIdPLIEU VJITH N'HEl NCR SFECIFlED NEREIN OR �
<br /> NOT. THt GfaA61lNG OF A PEHMIT OOES NOT PPe5l1MF TO GIV�AVTNORIT�O�CO STRUOCT ONNCT AT 1 AM AUTHOR2 OABY O CHER
<br /> 5TA7C GR LCGAL L P•W F C G U L A I I N�n 4 C N S 7 R U C 1 1 0 N o R T H E P E R P O R M A N"� I
<br /> I p'JJNEN G"Tt�IS f'llOf[FTY TO PERPOf;M ThIE WOHK FOP WHiGH APPLICATI�-N IS MADE AND I COMPLY WITH lHE S T A T E I
<br /> I Gt�NTRb.CTOf•S LAW 1 G Z7 RC1N AND 25620J WAC. 'I
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<br /> ;tign.•.ture of OrOnct/CortttactotlAirthorixod Apcnl ?�1O
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