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�ERMIT APPLICATIO� <br />BUILDING/MECHANiCAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI . Everett, WA 98201 4?5 257-8810 FAX 425 257-8857 �vvew everet;wa ory <br />�oRE55 �a3o lrU 6�"ch b. <br />lor ecw eOrsbucLon Snort PIaVS�Ddrvispn_ <br />Sp �e c�S �o � <br />i; Ou�^r� _ Cnnc�s�gcnt <br />UNTRACTOR <br />I �/ <br />BUILDING PERMIT APPLICATION <br />VTA%p <br />Lot No (atlach coOY �� �ong icgal ticscr.u;ion) <br />_—_ � ��hpurr[-mail � �VIY l�l �� _ <br />Gty/SIa1eR�U �rf-F lti% 98d(�3 4-e�39 <br />_C:O:IIr��t0i5A�!'PI "_"TL'ndr�lr..:ipr.,_,�mnr�rlmn�.o�.i'rtr?�ec.ne�lo0;hc,tmP.r:pa:e7 <br />Stale Lir. N <br />� IPnone�Email <br />cr�m�� �ii�l/ <br />� aai-�� <br />E F WORK <br />ExisLng Use ol E3u�iC�.n9 — —.------- . --- —.— { <br />P�oDosedUseolf3u�.d�,-9----. - . --- _--- I <br />D�i'�tlirg type _ Smge Family �pleY _Townhouse ,_ Muflrfam���,y Commercial <br />iype ol pro�ect New __ Atld�Uon Remodel _ Repau _ 7 I__ Siqn _ Spnnkler _ <br />DESCRIPTION OF WORK (adC�nonai space pmwdeo on me oack) <br />7t�move F�r�s�k� �,� 0`cal� l�ne'�vrh �ek��e �''"�� <br />T��(l /"S'��o��r <br />Typc ol Pro�ecC __New _AtlCn _Allcra4on _Rrpa❑ <br />Shaw Numbrr (K) o( /trtures <br />AIC - av handhng �nits <br />FOrLL'(i Bif Sy51ClI15 <br />( Wa!ei healer <br />— Gas lireplar.e <br />Gas r�nye <br />Cioihes drycr <br />T�— Ranyc nwd <br />E*haustlan <br />Hea� pump <br />Uml heater <br />(iodcr <br />Ilefr�qeration <br />_- _1_ Woodslove . _ <br />Ducl�nG <br />Olhe'___ <br />SPRINKLERISUPPRESS <br />� N;imber ol Heads <br />I �rr..py ceiFly I' tl I c uti�n e�ar <br />�c�q v��clpri ��� hrru �al T�,e <br />�1'.tll�mau' nUYlqc clull�'% <br />HEF�T <br />:ily Bus Lic # � <br />�-ao4b <br />Chanye of Use <br />�vi� l �'�y� <br />ul Pro�ecf. _.New _Addn _Alleralion _ftepai� <br />Show NumDer (a/ o! /rxWres <br />Gasin <br />s wa5her <br />Medical Gas --Y� —y�— <br />_ Olhe�� J/��W�/�.2,° <br />-Y-r— <br />Other <br />�nU Mnow O�c samr m nu ii,�e aea rc��rci A�i prw�sans aNaws antl orG�nances 9ovc�mng ihalYPc ol wo�k n�i�. cr �.:�mf ed <br />Does nol cirtiume tu 9i�� uulpuuty la r uialr ��i �.a�cel Ihe pionsmno� xny o!�e� slate m Ioed� iaH rcg�dalm9 con`dm;'.�^'� <br />Ihe wmA �or w��cr� pi�nno �+ inn�lr:ird I iumc'v �•IP i^�• $iaiu f,ortrrlo•s 1 ow 10 7] Rf.l'! anJ 29ti 10�A N,:f <br />- —5�':,��`� �,...: ��,�:.���,5, <br />