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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITICIN <br /> CITY OF [VFRETT P[RMIT SERVICES <br /> 32Q0 Ced,r St., [veiclt, ��VA��12U1 �175-751-9ti IO fAX 42,-25'r 88G7 �.ro�.v.v.everetl:�i.or�� <br /> �PPI.ICAlIONS ARE I�CGf'P1fiD FRO."d 0 AM11 i�)d Phl �—�—�� <br /> SITF ADDR[SS: PnorritiV iAx p PP .v�t <br /> 033 �' l �ave ar o0 o zo�3oo00 � D <br /> LF.(iALfernr,air.Gnsh�irl�r,i•�. Ghu:IPIaUSbDc���ir•::n ___ 'I.olNn_ (ellar,hr,of/eflrn�ql��q�ldr_-ri�q��i�) <br /> owr�ca OLI U�2_�1J C _ f Go o�� ----- �n���<<„��i i10 —"121__',��l --------- <br /> nd�o-�,. 54'�O �1$ W. 4�Cu 'bt�p c�;yisi::i�•,z��� l-OS Ai tIe- fn Gby <br /> APPLIC11Ni: O,:�ncr Oan�er':.Aqent CrrJr.Y'��r C�;nhar,ior'sA9ant I�enantP��,��r,�•e._.i. �,cre�,,,m•,o�•r.��.��.i�.�•cr�n.�m=-•� <br /> _ _ ' <br /> r,OMff+ACTOR CUCC�6fzEGN 5Tq{L.��+er,r '��rTa� i.� i i.�,�. tt EVEP_CsSS oZ,"I.oT r.�r ii��� i.�r, n o0"1955 . <br /> ,+d:�es: 'Ll'1,D l�Fkli•lC. 14UL`,EVE� (JA�98"I.D�-- rn�r��r��ui ��2>� ZS2 - .'�!/�/ -- — <br /> r,oNrnr iu i�Ei+rair <br /> rfNnr�rdusir�essrvnra� y�ru�� ��^e- µ25-�52"3i�y <br /> /1,NNex t�P� N� rronA.r-ma� Mr1i[It ��SS�"�"'n . �or� <br /> c�rnr+ncrr�r�icr:or�voa�<_�3,°°a <br /> [3UILDING PERMIT APPLICATION ----- <br /> [xislin�UFe a(Ruitdicg_ ________--_- -- ._._ ____— HI=A(:_nUftCF�_.____._-_ <br /> ProF�nsedUseofBwiding �� _ CN'1�''�Lt` ON k� � �3as l� E'r_Iric Giher_____ <br /> Butldingtype- _SingleFemliy _Uuplex Townhousc _R�lulti-Famdy _Commcid-�J <br /> type of prcjecl: New Addlion Rr.model _ .Repair�,T I. _ Siyn_ _ `prink�e�0emoliticn _Chanqe of Use ___ <br /> DESCRIPTIONOFWORK(adebonxlspeceprurrfr.rn�����efj�Qk� 4��T puhp� O� 2p��F �(�.j5 . S -1oN <br /> A00 2 S7s�Ndnv� �Lt C- �'� oiJ uN r� i i! J�� � r�n�� <br /> UN�T w ��l '�n�E I)vLTWN4. iNti�O� �vc.,D��q 4 � �.' <br /> �20�'S I N � `7Fhu- <br /> MFCHANICAL PERMIT APPLICATION PLUMf31NG PERMIT APPLICATION <br /> Iyp�•ol Pinjrct: j(�'lr:i_AAdn _ Alt�ietinn __Rr1'.��� Typc ol f'rojrr.l' _ IIe:V__�1r!dn __�11lrraiiun _Rnpif <br /> ShnriFlurnh ry'If ofhrli r Shn i i �I�r'N�)ul(�rfurr: ._'__ __ <br /> . -- .'-._ ._ N(. �ir hdndlinq unl!s __._ _'=_-1— ln�let' _ __ � __ .- <br /> - -� frrceA.irsy Mms __ _ 6�i�hhib ' _ <br /> ___ � t rr;p�pirg __.-_—- ___--l. I ivalcry�ash basi�) _ <br /> .'. _._'_ _.___. '___.-�—_ chrtver <br /> � l'Ja;ei I•,e�ler ---— ._-- --_ �-- -- - --- <br /> - -- — -- -- -------'-�� I<ilchen:;ink R disposnl <br /> �--- �;.tsliieplacn — I--�--�------- ' --._. <br /> -. _ __._ " __-—_ <br /> -------- �-�— � Uichwasher <br /> � �;as ianqe --'---- -- _. _. _.. _.._ ---. <br /> _ _ — _.I _- Ciolhe,dryer _._ _�_ _�'.loihes�.vasher______ _. <br /> �.__ � Itmqe. hood _.___= I W+t+r I i nr ' _. ._ <br /> I �hiu. tlan r � (� v I .�umop/elc� I <br /> �_— _ - ___ _� <br /> �L Ht 1 Pun1���� r _ _. __ ('iiMll ni� �nt r I <br /> Unilliealr,r _ �_ Ihin��l <br /> �._� �ad�f .�__- �_ __� fJnnhinqfuunbrn __ _ <br /> -_ . � ftchiqeration _______•' —� Iloortlnin ____. <br /> "- - -- -'-- � filt'RSn lia�) <br /> �U]n(�:10/O ' _-_ <br /> . .-__ _.. __-- ___ _ _ . "-" I <br /> ----- --- RaofAiains <br /> Ihilnq -- <br /> ___ _ —_—_�— <br /> — --- �-- -- ----- — � MeUicel Gas <br /> .. � c�iht� - . <br /> SPRINKLER / SUPPRES510N SYSTEM ������ _—_--- <br /> � N�rtuh��r of H�a�l: _ _ __ Other —_.. -- <br /> IOne�yrwilylltallhavemd�an0 ��tllMs.q{L.�- in�l:no� IM1. san'.ehbrlru��rticoneclA9f��Jf�onsallaweandanl�nances9oveminglMslyPenlwoik, ��I' ��;'e� <br /> vrJh�xflelhe!sp•,u�rcJ hr,rin or nol.1�e�pnnii��g ol o 1���^�'�1 Uou;nol pinsmne In y`.0 aulhnnly lo v��arv or an cet IM1¢frovL•ion nf any e��ai sl.�lp o�lucal lar�rr,.pvblinq�n�An r��n <br /> ���It��.lT fl111�1011)!1���1�10 0�!'11nf O�Ih15 pfOpEll`/Ill�Irl��tlfil:�B Wnik�[�l�':Itlfll O�)�`•.�:l��'�t i:Il��l�l`J��I i:0?�=1�t',:Il lllfl�I�f;l I'�lllydLl,ll:l.l'.t'111'/{�.I,IV�l.f1]9�;JI'��l�l�. <br /> ` �� �'2`I-�4 _ _ _ ` a <br /> OwnedAuthoriseA 9e Slgnxlwe uele (Hevisrd&70I11 <br />