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to Q�V CF[V�R�TT P[R1.1IT D[PT P;�yc i ol 11 :009�0.-13:0�0 11 iG1.1T1 From Ico�ollmerhauu <br /> ,) . . <br /> � PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT �ERVICES <br /> � 3200 GE�_UAl� ;IAL[T, [VLR[TT. WA 9(1201 <br /> i 425-257-SHtO � f�X 425-257 AA57 �www.evcrcllwa.or0 <br /> ' APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> I SITE ADORESS �� v r .�t�.:e � � �..-:� :' � PARCEL TAX I D.p PERM T M <br /> __ . — <br /> �:, r .�:: � � � ,.: �„ ��,. -L_ �,, .�, „�, ,,. I rr�oz- oc� <br /> 1 I-i',h..l LOT NO. � PLOCK � TRAI;�Ofl 6UODIVISION R <br /> orscl ' <br /> i <br /> OWNhR AODRt55 CItV21P PMONE <br /> i <br /> :OJti'Pli..i" I.•���.ILI'�Y :.'.� :r� � •I!: .e'I'll :+'.. ti_•�: :no. HF:I.LHV.•.� kT :�Mr,r. � <br /> I <br /> fENANiNAAIE COMACTPORPERMIi PIION -�-�� I <br /> � [��� E•MAIL <br /> CONTRACTOR Q�Kp t,f/75f�r���(J����=�s '�C Q e�c �1-7J CINRIP�-------FHbNE <��, (/1 2 <br /> CONTP.LICENSE I r3� �V la� V L_1 �& Ry� �d �I� � W,� �O �� ^�,J 7 <br /> USE OF BUIL�IN(t I — HEAT SOURCE — CONTRACT PflICE OF WORK <br /> h' �I:: :?A�III,! � CIL`CIriC . Gi15_ Ulhaf � !� /� �I Y�-� <br /> .— �Sr (. (; ' <br /> WORK DESCRIPTION <br /> �u i.���i.:��u. a ,j ;,r:,-Tnir.r-:". iv�z�GF��,-.rtFv � rxtsrrn :'�rs :,Frr;���ra:mrt.nsirr, <br /> ;�'I'.r 11:.'.'�'.�.I I ❑Fl: t:;...'..PI ,..'� hF'fl'i. . I'>'lll.�f�:.... I')J� CI .' eFT. F'li: F'%Ifl.l';T ['�'9'IC�' f�.F' I�f"r.!' :.Y.f) PA4. <br /> PLUMBING MECHANICAL <br /> NO. 1YPE OF 1-IX 1 Uilb 011116M NO. � TVPE OF FIXTURE OR RF.►1 � <br /> _— _. __.. ... ._ _ .__._'___--'-- __.' ——"—'___ -____-- <br /> , Tuilu� A'(: -air hanAlin�)unqc. <br /> BBI�1IIIh �-01CCf1.li!Sy5�P015 <br /> _ � I nvni'�ry iv.�lsh h.lsini _ (ias pipfng <br /> I Show��• �"l:�ler hRRICr <br /> I Knchen siny�disposal Gns firCpllCC <br /> IVishwashw Gasianyc <br /> �i Clolhes wa,her Clolhe5 dryer <br /> . . � 1Yalr�hrt.i�r,i finn�o hocul <br /> ' Sink IccrviccLur rw•.��ri;' , f..h0�st�un <br /> I Unckflcw P��'"�•'���'� Ileat p�imp <br /> l lrinnl Ilnil ht!,Ini <br /> Diinbnq Lmnln��� BoAc� <br /> . �iuui d�a�n Hrlrlqcrplinn <br /> Gicnse Ir;�p 6Vrn�Aslove <br /> Roo'dr.uns S s Oihri I�al'F.t <br /> � a QIIIUi wf, :ec'�i S R i i:IC�OST PA.'I. _._-._._ <br /> � * F%4A.i•;.:• � i.�..�••l�l F�.. f�P'fFH /.tll> V'Atr <br /> , CIl V Of FVEflETT LOCAL SALES�AX CODE IS 7105 <br /> i noroby codt�ly that I ham rnaU mvJ cr;m„ncA this sppbc:ition and knnw ihc s,vnc to be tn�e and eoneCt All providon,01 I�ws�nC <br /> mdinaces Qovomr'�il Ihis IpU�'ol wnrk vn�.l bc[mmpLed wCh whrlher s�u�cilicJ hc�ci�,pi n�. The qranUng ol�Wrmil docs not U�eswne <br /> lu pivc,ulllUr.lv IJ Vin�111c ur�'.nncel th�` p�dv,siy�nI Ony olher,tntr nr Inrnl Inr. r:puln'Inp GMstnuttinn nr ihe�1nrinrmAnr4 M <br /> ��nsCuzlion Ihal I,m aut iireJ by II�C oWrfu� ol Ihis p�uV�hv�u Di�lwm lhe woih Iw which aUVlicatiun:s mudo mW I�omply wilh thp <br /> `�':tlL'Gm�.hnclrns I.ew 1 H _7 f7C W qpH: ,700�AC .'/./,�i� i <br /> t."�l 1 ,'�., f/ �� � �� i <br /> . �jnmi�Tll'(�)wnnn7'.��nhnriai AIr''��FTA;�rrit I lnlr <br />