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P�RMIT APPLICATION
<br />CITY OF EVERETT PERMIT SERVICES �� � a--�%
<br />3200 CEDAR STREET, E\�ERETT, l"� A P??O1
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<br />4; 5-2i7-o�10 - FAX J25.257-BP,Si -v.�v�v everefhva ory ���,'� ��' �' 1
<br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���re(��}C,� _ �` (
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<br />SiT[AUDRCSS � � � � �1�� � �, ��,L� � PARCELTAXI.D.a ' PEF2fv11Ttt
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<br />014NfR _ W ADDRfl55 CITY;ZIP PNQNE �--�--
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<br />TENANT NAh1E
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<br />CON1ftACiOR
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<br />CONTR IICENSf. a
<br />CONTACT FOR PERA117
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<br />AODRE55 *._.. �—�� ���
<br />1 "103�- 3atEiu� S E
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<br />USE OF BUI�_pING , H[AT SOURCE
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<br />WORK OCSCRIPTION
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<br />PL.UME3ING
<br />NO i tYPC OF FIxTURF OR ITEM
<br />_-1____ . . .._.__
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<br />!1� I�.�D-'uh
<br />�� , .�..n� �r� (wash baSin�
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<br />I � ' ' , �n sin4 8 Ai5p0521
<br />� �, :..ishor
<br />� � ����5 washer
<br />� .. �. �r neatcr
<br />� �� �.��rne[ibar:mo{NcIC.)
<br />I E= r euo�a prevcntr.r
<br />Vi;n d
<br />_ i Dnnl.�ng Fountain
<br />f loor diain
<br />Greasc irap
<br />Rool drAins
<br />Other
<br />P1�7NE
<br />.1 ��' l l 3' l'1 l Q
<br />CITYILIP PHONE
<br />G�:�ii�:1'C `{ils -74?�-Ill$
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<br />' CONTRACT PRICE OF 1VORK
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<br />l�7 u-u.�-� tf J� � b
<br />MECHANICAL
<br />NO � TYPE OF FU(TURE OR ITEM
<br />. � aif han "..�� : �r=�,,
<br />� r , ,rnd alr S. �I �
<br />� � �,.is pqlinq
<br />� .',.ilrrhenb.�
<br />( �J,3s h�ept���
<br />� .,.�s ranye
<br />I ' , 1 R�as dr,�+
<br />_� Ran�tth:)ed�Ih�Ree�
<br />S [Mhausll,in
<br />_ Hcat pum��
<br />Unil healer
<br />Boiler
<br />Refngeralion
<br />Woodslove
<br />Olher
<br />CITV OF EVERETT LOCAL SALES TA% CODE 1° 7105
<br />I herot�y r,erilify Ihat I h�ve read and c*amined Ihis ipphca�ion and kno�.t Ihe same to be true antl correcL All prowsions o� laws �a� '.
<br />ortlmaces gu�erning Ihis lype ol �Yorh will Ue comphed wilh �vhelher specdied here�n or no� The pranUny ol a permd does not pn��,.�
<br />b> u�,.�, ,i.,t��.�nit, t; ��nl;ur� r r ���nr i�l Ri� p�i!t�isiOn 01 eny o1hPr Slaie nt Iocai I.��� rr�nd.t!.^,� �"nsVu�tm�,•i ui Ri� pr r1�nn,r���p „f .
<br />� .,, . � � � I. � �, ,�., .� .r ,. ! ! . r�, �.ner of Ihis property I�, ��,:r:,rm ir,,, ., . . . . . �, � , . , . � . � . ..
<br />_.. . . � . . :'OO WAC.
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<br />�'���.dhon; ed Ayenl D.dr•
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