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r'ERMIT APPLICATI� <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., �verett, V1'A 98201 425-257-8810 FAX 425-25i-8857 vn�nv everett�va.o;g <br />loinc.vcoiutiuchoii�. Shotl <br />OWNER <br />r <br />�Q <br />Tnx <br />i�U <br />(a��ach capy ot lonp !cyal CusCnp:ion) <br />na�«5. sd,�,, Doue� �S`T ICitylS:ale/ZiD EI/��e'�t IiYI+} 9�}'203 `J""" <br />APPLICANT: _ O+;ner _ Cv.r.er'; i.3enl _� Cemronor _ Conlrac;ofs A9enl _ Tenanl �r,,,ro�c.ce n�a:�� n« o:oni rmr �ro o..-n r000.r.n ,n �.�e �;�:e� <br />CONTRACTOR f(,�•,$7 N .ST �I�"J /j Statc l,c. t; FA si NNB �do,e�c��Y o�s Lic. �Q�'J`� �p <br />aacress �pC/9 //0-G� �L,f�.�� ��fi �) Pnune�Emai j�G'- 3/9- 62/z <br />. CONTACT FOR PERh11T {,��� .� ✓� /���m�,� <br />!/ CI <br />�/OINQ �L�o�s d �e.���c�� Fnonei=mad ?OG` -3i9-6'�2 0 � <br />BUILDING PERMIT APPLICATION coNTRACT PRIr,E OF WORK Y �S�{2 <br />isUng Use of 6u��ldmg � <br />�posed Use o( 9w�d�ng _ ���s— <br />i�ding type- _ Single Famdy _ Duolez _Townhouse _ F�tutti-Famlly � Ccmmeroa� <br />pe of pro�ecl� New Hddilion Remodel Repair _ T I,� Sign _Spnr,kler _�emol <br />=SCRIPTIONOFWORK(a�dbona�spaceprovi�Menmeoack) f���h/� <br />LGGG �Gfj� <br />G� � C�inCt'-l7r�2� /e �{P/P� O n�� -�c2�'a C1� <br />�S�D/�-1/Oit� <br />Typca�Project: _New_Addn _Alteralion_Repair <br />Show Numbrr i#) o! li.fums <br />A�C - air handling uni;s <br />Forced au svstems <br />i <br />O:hcr <br />ct Use <br />Si g/�j' hS <br />� �� <br />olPiojccl: _Mew_Addn _Alteration_ftepair <br />� Other � Me9ieal Gas � <br />SPRINKLER I SUPPRESSION SYSTEM Otner <br />Number of Heads Otner. <br />I nereDy cen'y i�at I have �e;�� and c.amine0 t�i; apF: w>en nr,d kno+r i�e same �o Le ime ana wrrect. N7 7�ov�s!ons oi Is.rs anC aNinances govern�ng IM, iype ol wmt mli Ce cemc� ra <br />w;!n wf�cine� spcU9etl Ocrcin or ral. TTe gran:ing ol a pe�me does not Fresumc to ,ire autnor.;y ia vio�aie cr �inccl ine pro��sion cl any ot�cr stalc or lawl la.v reguWtmg con;lmc: on <br />t�ai I am out�ec:e0yy i�e otimer ol lni; propeM �o petlorm t�e H�e�k Ier v.n��;h a, p!.ctl.cn i; made an� I compry vrtl� I�r. Sa'e Ceatractom la n 18?7 RC W anC 296 20JA WAC. <br />(Rc�d�ud aR015) <br />I/� <br />