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<br /> BUILD[NG F MECHANICAL 1E
<br /> PILUMBINGICATlt7N
<br /> (SIGN(SPRINKLER/DEMOLITION
<br /> i ,441W.
<br /> Ci TY C=_VERETT PERMIT SE:RVICE.3
<br /> 3233 C CDAR STREET,EVERE:.ENA 35n'
<br /> ''s 425-25T-3317 ( FAX 425-257-333T f( 1.v. re.t..33narerawl.g3%,( w,wrnr.>ve ,'!,) 3 y:w",?Fr:ms'3
<br /> (Blue:or`6lacic.ttiSt Only Pteaei�)
<br /> 2PiOJCT=siEilNkfttAt`{�t ,:
<br /> _._ _ ;.;e No.__ 'a s.a[ �apy of fong legal de3c.:notin}
<br /> .. .- +' Tt'�iw' t3FCt2fi'�'t'1t3
<br /> ,,,'t;,L , 4t3,.' ADDRESS .«,r _ vasv.rnar:t3t ...
<br /> �",� _� �'1�'ilA41E Cgf �
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<br /> ____________I_
<br /> CONTRACTOR NAMFL ~f' "` . a` ' ` >"
<br /> CONTRACTOR ADDRESS:
<br /> C R fr� 3'a1d-�� S
<br /> ONTRrICTOR PHONE: 't ? A i tR " 0 1
<br /> 5 CONTRACTOR EMAIL.- "..a 4 wt 16
<br /> TRACT O F'- +Nc�r£# REgUIts 4: 11ntriA larsip . g !/ if. «
<br /> _ .f1"f OET LV;fig^T t b3fitESStt lisf (REIItIitLEL?T"L. i-,,��," ..
<br /> DRIMARYCONTACT: �- �.f ..,. -...
<br /> ID OWNER C ON iRA TOR 0 OTHER(Please Specify)
<br /> :ONTACT NAME:
<br /> 'Dva b CONTACT PHONE: i.42.5 25 c 5D
<br /> CONTACT EMAIL: „,dipy`e
<br /> 3 n iy� *3 R~0�, � aSoup. all e- `a
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<br /> �w �A.:J1..J s 0+aR':Tta.,,.i3If3
<br /> 3' 3CRIPT.ON O- 3 ti' 0T `'
<br /> _ 4�OtirC: 3 go (�3 ar'i:;?~ Dn -'t7li'fo-2 of J,
<br /> vi, if LA.„,.el-4-(_,L, ke_o,-/-e-e2
<br /> 143 . ;iM4,TED s�{JiLDINi{s PE,R}};N��°yy��E��r#,;,a3- ;;a3,4};
<br /> EW4T:At`,/4CAL•PEJ4`TitT APPLICATION ay �
<br /> �tPe of Project: _New -. ,' `
<br /> Addn Alteration' Project:
<br /> M iti41ew i?!I'i ration 1I�1
<br /> #of ` Repair Type of Project: New
<br /> -t" r #off Addn AlterationRepair
<br /> TaftTT�3' t'� .-t-1X-t1�3 #Af -_-
<br /> 7X tf(33 "1'-i�'Ar{Ir'�. - I..iSf'+'7f- fSrf�#.dfil3-•------...—a..
<br /> FNMI
<br /> orced lir Systems fn !Pura Fixtures
<br /> _�Gas Piping Backtiov Pre,erw r(Inside g€dcD
<br /> Urinal
<br /> !' - Drinking Fountain
<br /> . Wood Stove Flog Chain
<br /> minum.Kitchen Sink&O1S rw;*Sal
<br /> IIIMET11111.11111.11ft
<br /> min Clethea(DryEtrHerkut- liong Other:
<br /> Ran.e NcedE��/C(athes Washer ''•11610111.11111111.0"
<br /> Roof Drains
<br /> AVA Other.
<br /> . fink tSa111111.1111u{ o.)
<br /> SPRINKLER'/-8UpPRt;SS1 SYSTEM .s.
<br /> �� it
<br /> . Nc. cf Heads 1111.
<br /> rimi
<br /> Q tiCtimiE EJ✓ENT,)have re,liew.d otts 4,riomeile.ri grd rr uirrx tte i;icr:neacr,ccrteircc Pezeir;is true and correct,worlr
<br /> carr r t UFr t mete,arc,Jrcai lam TJ r r.-r trS rp a err rt et.c of it:crix�s rtk
<br /> ccutr rrg f,xial mete, tarry al to .aed�r fir c dere a"Fr/rart tc 1:Is errrrltduet r•
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<br /> u r r�rs2 �'authsrixed Yr vrrYJ,+1r�tr..,
<br /> Esc }c.rrri-girt 1/ - t i l:'.nrr�r_r..r„ r'irr„arts r17rr, -!ar;F7m clore�r,et'i er„2uU:cr3: d t?We cv rr:r fa it-is�rr,F,i-tv ; error:tt.e.'.wcrk krWrri.i:
<br /> La . /ICA/a�.v i5�at:�F WAC, �1FcatG,t;tr�ewi�
<br /> Cit.,/a Fvereii C ficial Use Cr:r
<br /> '+ arix�u`4, sem.,.. ”.f �1 I t, I 1 FEF I # R
<br /> 1 r._.Aae . Signature '-' ��'
<br /> {' este y� 4...„�.. :FY0`.,ISHaY lie J.CV�tP!
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