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u <br />vu� <br />� PERM�'� �P��i�kTYf�t� <br />��ITY OF EV�tF�:�Ti F°E'FP�iT �EFtVIGE'� <br />�2oo':f� n:,�; : i�zi '� i. i�i� i,� r i y,�� �,f�:�ot <br />425-2�,,' �9A10 f��l.;( ,'��-7�, r,HS! c.:.�.� evcrr�thv:� arg <br />APPLICATIONS AHi- ACCF�'TLD FROM A AM TO 4 PM i <br />� - � -- - - -- �-- �-� - -I -- PnitCf_I. TAK I U P -�--- - - - PERIl91T p . <br />SITf_ ADDRESS I /�n �1'� I ,—U ��r � <br />, 73�- /c��'` /��Sl _ OG�,(�f �U' U/�o� _ . �v� �.t <br />�:�;� I.OT NO I ALOCK- �. II+M 7 � <br />' � �-J _ � -- — _ _'— I <br />' O'l7NF:N— — � . . �AUUN�.iS - ' -- 'GITYQIP PMON[ <br />�.zs ,�v��� <br />,�i � _ � Q�i 1� CU 273_2_ /ou "/'� sG_ %,.,,r4F��a — — — i <br />� �-- - {IY1PCItMIT PNONE � <br />, TFNANTHANE I CONIA�.I . - - - - - <br />C'7NTRACIOR ni,i'� `� � CITYi7.lP PHONE <br />' .e'i`/(s r� �s/t. y�%S ��� 7�Zc� <br />CONTR IICENSE N � � <br />� /tij'><ci'sic� �: � ri �y _ /c;Gs _/�,•- (a� Sj ,t1 G 2on _/.��P�/hcs•t/S�c51 . - <br />USE OF BUILDING ��i :•I SOURCE CONTRACT PRICE OF WOR`( <br />\ � <br />. . , �r; �ilher � /_ 7 <br />i _ ...-' '_' .__'._.-_. �. <br />_- -. — _ __ <br />WORK DESCRIP?ION / �� - �,, � ,•„<.<. � l. g \ <br />,� �u� o J <br />i PLUMBING <br />pp � TVPEOFFI%Tl1FFORITFId <br />�__ _ . - . _ _. . .. _ "_ <br />_ T� �f � <br />Eialn;un <br />� Lavalory (wash bas�n) <br />Snowe� <br />K�tchen s�nk & tl�sposal <br />' Uishwaaner <br />CIOIhRS WBShCf <br />I �und�Y �'�Y <br />..- Smk (scrnce'Uadm u <br />__ BrICN�ln��v prpvei .i <br />Unnal <br />__ P,�.^.M�nq F ��In�n <br />(tr,rn dr i <br />_ r;�rd�� . Vat, <br />Ho�f drau�s <br />_ Othcr__ __ <br />, I-_ .- - <br />0 <br />I <br />_� <br />MECHANICAL <br />Np. TVVf.OF fIXlURF OR ITEM <br />P'(; - Blf hOfCl,'1Q Gf� !S <br />� �qffP,d 81/SYSlB�nS <br />_ Gas P�P'ng <br />'Nalet healer <br />Gas 4rc,�iace <br />Gasranqe <br />CIO�hn7 d�yCr <br />Rangchood <br />L-+hausllan <br />i{eat pump <br />--_I Un�l healer <br />n���P� <br />Reh�9erat�on <br />Wondslove <br />Oiher _._ ._ <br />__ I __ . _ - <br />CITY OF [VERf-17 1 OCA1 tiAI FS lAX fOOF IS 3105 ___ ___ <br />I hereby cerd:fy thal I liave read nrd e*am�ned Ons app��c.aliun anA knuw Ihe seme lo he Vu� and r.ortecl All prowsions ol laws and <br />��rdu�aces govem�ng ihis lype ol Hork w II brt r.omphed wdh wi�etner �pecifed herem or not TPe yranbng ol a pe.rmd dees not presume <br />to y�ve authonty to v�olale o� cancel Ihe oro�:is�on ol any olher stale or Ineai law iegulahng co�utnu:hon or fhe pe�iormance of <br />�-onstruchon 1 hat I am �NhpriL9d hy ihe owner of th�5 Pr�p��i y Is Crla�m tiv. v.rnk loi which apphcahon �s made and I tomply wdh Ihr. <br />State Cantractors av B''fi C and 296 700 WAG <br />S�;�naWre o(� er onliaclodAuthented Agent /� +��/� <br />� - - - - - � - �- - ----- <br />�` ,,� ,1,�,, <br />