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<br />PERMIT APP�!CATIUN
<br />CITY OF EVERETT PERMIT SERVICES
<br />3200 CEDAR STREET. EVERGTT,'.1�A ��201
<br />42 ;-25i-�810 - FNX 425-257-885i -��.tiv�v everellwa org
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<br />���� � i �� !' � �� AP�I�/�TI�NS 11RE ACCEPTED FROM 8 AM TO 4 PM ���,�;� �' Q�_ �,, �� �
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<br />SiiF 4DDR[SS PARCFL TAX I.D. p ' PERMIT a
<br />�5�... - � Sc�y�_�C,zst _ T vc�4 ok_-_cc4-_cc1_- co �' ��_�%� �
<br />� �- LOT NO ! I
<br />RACT
<br />5 _.. : 1 in�n�_ � PP c Sea�,an_ l'l !°`.r`-s'"K a8 �on,- .�t �IE w. 1•
<br />U�;��ER -..-._•_-____ C-n�dtJ�T,�xW ADDRESS —_ .--_CITY;21P PMONE-.-_�-.. �-.
<br />i-�.�Q�2 Cr��.f�.�R�`3rS� 4.Lf Ilt�'i,Z-'�y��(�u� 5� (3.��1�elf y�a -"1V 3- �1�8
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<br />TENANiNAh1E �
<br />, CONTACT FOR P[RM1tIT PHONE
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<br />C01�TRACTOR � ADDRESS �...�� ��-_�- �- � �-�---�-�--
<br />* C�TYiZIP PHONE
<br />A�oa iREnieapR�S,.�,,��C �,o3�-as�q�r sE �:�t•�C �t�ts -743-��ia
<br />cnr�rrt uce��s[a q.$.:1�
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<br />USE OF �UILDING NEAT SOURCE CONTRACT PRICE OF �YORK
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<br />WORK D[SCRIPTION
<br />C mwa-1.�.�c -1 � cm .� •m�,.� ��i i�.u+� � P.w cl �.
<br />PLUMBING
<br />���� TYPF OF fl%TURCOR I1fM11
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<br />•'� . !ub
<br />4 , II J(y (W�15�1 �1d51f1)
<br />:,,y
<br />I .' ���rn sn4. 8 disposal
<br />� . � :.,ishei
<br />� ",��s �5ashor
<br />� .. , �.. heater
<br />�.`,er,�cr� barm�.,�relr I
<br />I • . .lio�.v provenli��r
<br />���,n
<br />� �.��king Founlain
<br />h���ur draut
<br />'3�easo v�p
<br />Ruul drams
<br />�ther
<br />NO I
<br />l3u-u.n-C� f3' a 3 k�
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<br />MECHANICAL
<br />7YPE OF FIkTURE OF IiEhi
<br />�. �� - air handlinq undf.
<br />I � I �,rced au spsiom�
<br />�j .;ns piping
<br />� :..iler haalci
<br />( � •;.ishrepCxo
<br />I I '�;:�s renyc
<br />� I �_ I�� (hes drycr
<br />i�, �:.��iqe hoo�1 / 1✓��R e u
<br />g I ! ,haus� IIP�
<br />� nc:it puny�
<br />Unq hcab,r
<br />Goiler
<br />Rclrigeralion
<br />N'oudslove
<br />Other
<br />CITV OF EVEREIT LOCAL SALES TAX CODE IS 7105
<br />i hereby ceritdy ihat I have read and exanvneA this application 2nd 1,now the same lo be true and correCl. All provisions nl 12ws and
<br />��dinaces yovermny Ihis type of work will be comp6ed �tidh whether speol�eA hau,n or not. The 9ranlinq ol a permd does not presume
<br />t. �� q�n� ;wth�,nt�� I� unlnle or canr.nl pie provislon ol Tnq cDu�r sla(e r,r local lav, nrqul,�iing tonslruction or 1h� p�riprmence ol
<br />. „ .. 1 �. �I ' r� � �In ,nled hs IY�O U��ner Of Ihis pin�,nrl.. to p��r���rm I'��� :. �.,� r, � ,:h � h n, �' ,� nl..� .. n�n !.• a��.� � � ,
<br />.. � . � .� ..'r:�.-1'.:m�129fi200VV4C . ... .
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