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1-ERIVIIT APP�_ICATIt)N
<br />CITY OF EVERETT PERMIT SERVICES a�l6 -07
<br />;'7�) � CEDAR STREET EVERETT \1'A ��9�0�
<br />�7�'5-257-0910 - FAX 425-<�7-8°57 - v,�vw everelt;.a ory ( { %-(�'/� ( <, �/
<br />APPLICATIONS ARE ACC[PTED FROM 8 AM TO 4 PM r�� 34+�J �-�1�) I
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<br />SIi[ ADDRESS I� � � � i�� �) � �- PARCEL TAX I D. J7 i PE MIT lj
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<br />01YNCH Cc�RdW����K� AD�RG55 � CITY2IP PNON[ --�
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<br />1f h.:hi NAtdE , CONTACT fOR PI:RId17 PHONE
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<br />cor�ianctoH nookess �l,., cirti'zir P��or�e----
<br />nc�a lRC�l�ettQR�S�•5,�� (�103�'.3� µut SF �j��L �(il5 -74?,-Ill$
<br />CONiR I.ICENSG a �{,$u l3.
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<br />USC OF 3UILDING
<br />' H[AT SOURC[ CONTRACI PRICE OF WORK
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<br />WORK DCSCRIPTION
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<br />PLUMBING MECHANICAL
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<br />y
<br />– TYP[ OF FIXTURG OR REh1
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<br />. _ .t .r� �.�:ish ba<in�
<br />:,, r
<br />�� •����n sinF 8 Aisposal
<br />aasher
<br />r����.s washcr
<br />n c�alM
<br />� �e�rwce'bar�mop�e�c.)
<br />� � � "-?w prerenter
<br />i,
<br />..,�y Founlam
<br />� "rain
<br />. . ,r;r Irnn
<br />�<_��I drams
<br />Jther
<br />NO TVPE OF FIXTUNE OR ITEA1
<br />. ;,. C - au hHndhnq un�L-, ��
<br />i � �-rced av syetenis
<br />� . �_is piping
<br />. � l',..ter heaiar
<br />( '�� .:as Iveplacc
<br />� � �:�u range
<br />I � CL,thes drynr
<br />i �f:dnyehop�l�1���Reu
<br />S I f �iitaus� Idn
<br />, I�,r�dtpump
<br />I l�n � healn,r
<br />E3oiier
<br />Relnycration
<br />W uodstove
<br />Olhnr
<br />CITV OF EVtRETT LOCAL SALES TA%CODE IS 7105
<br />� , cenUly Ihat I have read and exammed Ihis appl�cnuun and 1.now (ne same tu be lrue and correcL Atl provisions el lans . r �.
<br />.. ��s go�mninu Ilns type of �tion, wtll be complied �trth vrhelher specd�ed horcin or not The qran�mq of a permd does nct ��.n�� .. �
<br />.�� r�thn��l�. 1� � ��,�aD. nr �.�anr„I Iht� Proasion ol 2n� olhrr sla�e or Ic�al la:. rr•�.�ui:p���,� rcnslr�icL��n o• R,r� �,.,rlonra�i,�r. �.�
<br />. . ,.� i 1� .� i i... i .p, .i'r•d hy flv. r•NnerO� IhiS {1tOppr�y L� i,��r1 .rm lru. :. . , � ,_ . �;�. �, , ., . �, . , , .. •
<br />� � , . . �.: ' . ' �:���.^. .r�,1 :'�,i..; 2001NAC.
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