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• . <br />�ERMIT AF�PL.[GAT�ON . <br />BUILDIN MEC�#A,�ViCA PLUMBINGJS�GiV/SPRiNKLER/DEMOL!"CION <br />CITY OF EVERE'F'i' PERMfT S�R�d�CES � <br />920Q C�d2r 5t_, �uerett,llVA S82Q1 42�-25i-881fl �AX 425 257-8$57 wwvsr_everettwa_ocg , <br />I�Dtt�Sg: � � �. <br />'Z�� 1� i h ta! I�i <br />v� S� ( <br />� new wr�struction= $[mrt Pls�v+sion iat Na� (�#ad� copy af IonB iegal desaipUon) <br />� �� <br />� <br />?��3� ,r,�► ►�� /� <br />4td'r• � owner ,� owners Age�c _ <br />�czo�t S�1 � <br />1 �'bf� RiC�U;Y!' S ��f, � <br />�Q' J `" /GCJ - <br />.� _ .�. <br />_,__ Contra��s Agratt ____ Te�sant (�et pco,�rea e m�araa mr�ru t�+m �e ore+ec e� m mmt <br />� ► �ilevu.t l� <br />U1LDlN� PEl�11li1T APpLlCAT70N <br />U�e af Buildmg' <br />�� Zir����i►�l1 <br />,`it �- � .- , I� � <br />. _ : ���_ <br />- -�l ' '� <br />- -, n � � • : . <br />?ropos+�d Use of �uildina �� <br />�ut{dit19 �rPs: _ 9fitgle ��itls� _, paplex Tawnhause _ Mufti-Famly _ Cammeresal <br />Type QiA[alect: ..._.IVevv--Aclditign �. Remodel __ EieDair�_'f.L __ Siar� __ Sbrinklei <br />OF WORK (additione! �aaeprovi�d on the beck} : <br />�.vv�� �. lc�� <br />� P <br />l�PPL1CA"f'iON <br />oP?rajoct _tsow_�Iddn �iterallon <br />_rn.,,,. u,,,,.ti...r� r.fRvA..00 .� <br />( <br />8�5. �. � 0 53 <br />r� w.k �1�vac <br />_o� <br />� <br />/ I►wi1'rr�ir, �i. � � <br />�r•% <br />RLUl1�Bl�lG P��'tNtlT APP�.ICATION <br />o! Ptojoe� fVaw ��ddn A#ter�ttOn _,_,.R@pdiY <br />Shoter Num6ar f� nf frrtr�res <br />N►edica{ Gas <br />dtfier. <br />Ot�er. <br />1 ho,nitiy tl�ert�y fhat I havo raatl aRd oxaminatl Ais,a�pfw:�vn and lmow tlw arrte to bm true mrd car�eci AII provtAons of �ws ead or�r�anc�s BovemMg lhts q�pe r4waik vd9 Ae mmpt <br />wtih wfiatRer tl� r,r noL 11fa Q[antinQ of a permtt dosa not praa,ma to gks authof�y Ao rio�te ar ranml the pcovictan of eny atl�er s�?e or �J tsw regulat�g cvnmrudion <br />2hat i bY Uie awna' oi thls ProDo+11+ to potfornl fJw Work i0twhich oypication is mede snd ! co <br />r� wkh 1he S�te Ca�QaQoea Lmv t827 iZCW and 29020QA WqC_ <br />�/ � o � �s� ��. °'° : <br />Ovm4r/AutAo�ized qqer:t 3[gnatWre <br />(Rmvised �094) <br />m <br />a <br />