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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLERID�MOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />"s200 Cedar St., Everett, W� 98201 425-257-0810 FAX 425-257-8857 vrrnv everetriva org <br />SIT DDRESS: �=�`' ;Z �; � PROPERTY TA%N <br />�'� ii 3 L�,=.��. ��1� t �l , � _ <br />LEGO.L lor new cc�su�,coon Shcn Fiavsuba.visicn ____ Lci No <br />OWNER � Pnone/Ln�aJ <br />�ddicss f�"� CdylState2�p <br />APPLICANT: __ Ovu�.cr __ C:mcYs A9e'rt Con:�ncla ._. CwiPac�ur's Aqcr� � <br />CONTRACTOR �i S'ale Lic # <br />PERMIT # <br />�a�!acn coPr of lo�g iegal descnC��cn) <br />_ _T_ � �G <br />2Q <br />Xlrnan� -.:i.;.�.:.ao+ci:�;ru- _ �:�e_.,..�.v+.�n �..•.c,. <br />r � <br />C iv B�s Lic # <br />Em:u� <br />i'r1L•..C�P.-T.lil <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ____. _ ____.___ <br />F+�shrr3 Use cl tiwldirg _��^' ____ H[AT SOURCF <br />Pieposed Use c' 6�i!a ny {��N1 __ ___ cas Eied���c cme; <br />�uJtiing ryFe _ S�.n�le Fa^���ly _ U�oiex _To:mhouse .__ PdWt�-Fa�� :y _ Ccmmeruai <br />Type of Fro,ea .__. Ne�+ ____. Atldricn __. Remotlel __ _. Repah .,__, T I___ Sign __Spnnkle� <br />DESCRIPTION OF WORK �oo'c to��a; snarc p�u, de� �n ���� o.r :� <br />n��n.�o �r S �+oP <br />cl Use <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />o� PrOJocL' _Now _Atldn _Alloralion _Repair Typo ol ProjocC _New _Addn _Al(eration _Ropair <br />Show Number (tl1 0/ /i rtures Show NumDer (AI ol In �urcs <br />I A.0 -� au hanJ��nq �nd5 i 10det <br />; Poiced a�r sYstems ', liathtu6 <br />heatcr <br />da <br />i O;her � � 1.1e0ical Gas <br />SPRINKLER I SUPPRESSION SYSTEM � O�ner <br />� NumCer ol Heatls 0!her <br />I Pe�rhY cei!'y'nal I �a.0 iea] a•�d e�.m.. nn0:�is apF��wtion an� ir',ox P.,e snm� q Ce 4ue nrJ ¢uccl All piowsmns ol I,�rvs ond ord�nBn(tf 9.'.Cmin) tM51�Fe cl nciF a`� Le a'^�C'.c1 <br />r�!p Nriemer eG<<���ea �e�nnor nol iAe grarl.ng e� a pertn; apei i�ct p�r.snrne io q�:e au'I�.ndr lo vo�ale ur ca��rel I�a p�onsian cl ani otner 5'ale or kral lahroguloing cm�s'n::��'•i <br />inai I am aumv¢e<1 Cy ihe onnet ol tPn picG'h] lo perteim I�c wGi� Ic• at� cb a; G'ea'ion is maCe an01 ccmpi� w"!i ine $latc lenlruct:n l a.v iB P �C'.Y an0: F3 iCY\ �:�C <br />�� / (Fev�SN J^.01J) <br />