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<br />; CITY Of � RE'1?1'pP R�M T�S��C�N ES _ j
<br />� 3200 CEOAR STP EET, EVERETT.INA 98201
<br />425-257-8810 — FAX �125-257-8857 — w�,vw.everetiui�a ;org -
<br />� F,ROM B AM TO �f PM ::: , r. �� S"/ D
<br />APP.LICRTIONS ARE'ACG�PTE�
<br />' � SI7E ADDR�S9. ��� � � � � . �_- PARCEI TAX I d i{ . �,. � PE MIT it
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<br />LE(3111 "'LOTNO. � ULOCK � TRl1CT
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<br />' �� OWNER . ...... . ; ' .. � .. . � .. ADORESS � . ... � ,CITYiZIP ' . .� .. PHONE . � ..' . �'—
<br />.� ..:.. TENAN A�a ,�Shl/1 HCI UC.1'�'I�i7e✓�i� . . .. � � .'_.'�_._
<br />� �� . TACTFORPERlNIT� �PHONE�'(p,33"�'�On .
<br />.'��. �' 7.JI�V�� �J .. .'�. f�(7..,�:,. . C1�i��Yl�.r .'.. � . E.MAIL KDti _��f,y,.��N
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<br />6psr plwr,�.:b,�n.9 -: 2%i//►
<br />��'rCONTR:UCEN9Ei . .. , . . � ' .. . ' �
<br />C3ES7 P 9L�97 �r J\'. �I � Sla� Gku nJ� ;,�z.� .9�lo,j �i� (�3-170�
<br />USE DF �UILDING' � � � � HEA7 S0� �' 'CONTRACT� P.RICE Of WbRK
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<br />���.��.WORK,D�SCRIpT1tlN:�.Tf✓�iM'b�" rYV��QlO�CIY'IP.�j" .. � - . . . .
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<br />'PLUMBING � MHCHANIC�t4L;�
<br />.. . `Nb � � YVPE OF F1X}UH�;Dp ITEM . ,: _ ...' .. '.... � NO�,�. TYPC- OF;F�X'TIJRE OR�. . .
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<br />Ba1Mub Forced'ai� sysiems
<br />� �� 4 . Lavelory'(J�esh Ca;in) �. - � � � �Oes pipirtg . . �
<br />Showt9' ::.. � .. . � . � , � Walerhrakr- . � .
<br />,� IOtchen smk �, di'sgosal � . � . ,,,_,_ Gas Biepl@ce � .
<br />Dil�hWeOher , . � . � . � � Ges rSnge�, �
<br />�'��': �,.Clolhes.w25her , � , . ,_.CloJhasdryer.
<br />� Walenhea(er _ Renge hopd
<br />Sink(servlceTharlmep'¢lc.)� � � � ExhousUan- �
<br />. ��,� �3'6kIWwpleveiiter - � .; . � . �, � Heotpump � ..
<br />_ Urinall . � . . ��, Unii.healer � .. .
<br />brinkln9Fbunlahi�.�� . � . . . , . � � �$Oilar:. � ..
<br />� �'� -floor'drain�,�� �� � . . . � � � � Relrigeration .
<br />� �Greese.IraP. . . � . ' � — LVpotlelOVC . .
<br />� •��Rooi�drtilris .. � . . . � Olher � � �
<br />�. . ��. .�Other'. .. , ....:. �. . � � . . . . . — . . . �
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<br />: ��� �.�... ..:, . CITY9FEVERETi�IOCAISALE5TAXCOD��)S'3f06��. � . � �
<br />.,., I hereby cedify tnal I have read end eYamined IMs a�ptical;an and know the,some�lo, be Wo �and aormct�, Au prmfs�on; of layrs anJ
<br />-' 'drdinance5'gbvem'rrig thie type tlf �: will bo compliad HMM1,Whether sFeclfed hErein or rwtl�The grenUng� ot a.ponnit�docs nol presumc
<br />..',to glve aulhonty to vlolote.or cpr 1""provfslon of sny ��� ,rstale or local laW;reg6latin9;carsWNion ofi the perlcrmopce of �� ��
<br />�cons ctlon:lTwt 1 3m.evlhodz d the awner of lNs pm,�erty lo�pertbrm Ihe work ror which apAlltAlion Is made anil�i comply with�ihe
<br />�fStat nolCadorsLa�V�10:?7R ,a'n&'2982tl0�WA'C. "�... ��,�_, . �... ���� . .. �
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<br />::S�g ot�OwnorlC,pnl2cror/ hotl edAgent�1'- V � Oate � � . . . .
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