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rERMIT APPLICATION
<br />CITY OF EVERETT PERMIT SERVICES
<br />;200 CFDA.R STREET, EVERETT, WA 98201
<br />a25-257-881 G- FAk 425-257-8857 - www.everettwa org
<br />APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM
<br />�-�0--07
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<br />SITE ADURESS PARCEL TAX I D. # - - . PERMIT p
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<br />� . I.OT NO �� HLOCK i 1RACT �
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<br />iF�IANT NAM[ C0117ACT FOR PER�11T PHONE
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<br />C0�1TItACTOR
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<br />USF OF 6�ILDING HEAT SOURCE
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<br />V�ORK D[SCRIPTION
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<br />PLUMBING
<br />NO 11PC OF ! I%IURf. OR ITEM
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<br />� :•�os washer
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<br />I ! �. liow pievent�r
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<br />f �� � d.ing Fountain
<br />F Wo� arain
<br />Grease Ir;ip
<br />Root drains
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<br />CONTRACT PRICE OF WORK
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<br />MECHANICAL
<br />NO � TVPE OF RXTURE OR IT[h1
<br />... - eir handlu�y units
<br />1 f ,�rced ev Lyslems
<br />� �S,�s piping
<br />� .'. afef hellnr
<br />( �.;,isluCpla�i�
<br />� ' �.:;;,s ran9e�
<br />I ' �I�;Ih[�s dry���r
<br />i � I:.,in�ehood /I✓��Reo
<br />5 � f •haust I;�n
<br />. � �� al pwnp
<br />' i ���i nea�„r
<br />_ Guilor
<br />Rehiyerahon
<br />Woodstove
<br />Other
<br />CITY OF [V[RETi LOCAL SALES TAX CODE IS J105
<br />��eieUy cenldy Ih.,l I have read �nd exnminc d this ap{�6��alwn anA hno�v Ihe same lu be true and correct All proe�sions of laws and
<br />. rd�n,ices yu�eminc� Ihis lype uf �tiorti v,iu be ��m iDed ��dh wheU�er specihed he�ein or nol The �ranhny ol a permit does nol presumr�
<br />i� p�.,, �b.dhordy Ir. ,,�r,i;ifn ,-�r r�ncrl Ihe provis�on o� an�� olher stale o� local I;n•, rr•.�u�ahnl cnnsirucli9n or the �1eNorman� r��f
<br />. � �r,•..� �� �� i l l, i' ' .ir� .�.�Irr r ,r�•�! hy Ih0 oWnCr ol lhis prn�,nrt�. ��� �,erf�ttm �he :. �. f r � ,�. 1�, ,�: ; � .,, . • . ..� .. ,
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<br />' ,t� . . . . . .... . .. :. .md 296 200 W'AC
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