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<br /> PERMIT AP'PLIC.�?"ION
<br /> BUILDINGIMECHANIt'!��..1'•''..U�`��'lir":.=!>IGN/SPRIl�1KLER/DEMOLITIUN
<br /> CIT f OF EVcRETT PERMIT' SERVICES
<br /> 3200 Cedar St , f=vcrett, `�VA 987_C' d25-257-8810 FAX 425 257-8957 cn':`:� ever�t�,v� oiq
<br /> $IT_�pDRE S: PROP[RTY TnK u �FH'�:I'» D y �U LV
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<br /> OWNER G "��� �G�S/A1 c Cl �� lTY Pnoce�c-inaa �Z � ,`�iO �` ���I ---
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<br /> CONTRAGTOR �'l�/.C �� �Ti� 1�C��JS/k"L�C � S'ntaL�a » �� � �� _�JO �j G.tyFua L�.c +: W=17� '
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<br /> TENANT BUSINESS NAL1E COtlTACT FOR PER�:11T
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<br /> BUILDING PERMIT APPL ATION � COIJTRACI'PPICE OF VJORt� �.'1�__ _
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<br /> T;p> o`prqec� f:e:i __Addition __ Remcdel _ R�pav�T I. Sign__ Sp:mkb�r_DnmoliD�n U�anGe ol Use
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<br /> MECHA�JICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> 7ype of Projecl: __Ne�,v__ Adtln __Alleralion_ftepiir Type oi Project: _New_Adtln ._Alteratron__Rcpair
<br /> SlrowNumbcr(N1ollirtures ShmvNumber(p) �Ilixlures __
<br /> � AiC–auhandlingund5 _ � Tc��le�
<br /> � Forced a�r sYs�ems ___ � Ba1hWb
<br /> � Gas piping I I.avatory iv�ash bas�n) _
<br /> --� Nlater heater I Sho�:er _
<br /> Gas�replace j Kitchen sink 3 disposal
<br /> � Gas ranqe Uish�;�asher
<br /> � Clolhes dryer _ � Clothes washer
<br /> � Ranqe hood � Water heater
<br /> � Lahaust fan � Smk(servicelLadmop/Mc)
<br /> � Heal,ump 13achflovi preventer
<br /> � Und heater c/� � Urinal
<br /> � �aJer Drinkmg Fauntam _ _
<br /> � Refngerahon I Floor drain
<br /> ! 'Noodstovc � Grease traU
<br /> —� I��,i�hnq � Roof diain5
<br /> j �,�,._,r_ � F:iedical Gas
<br /> SPRINKLER I SUPPRESSION SYSTEM � other
<br /> � ;<uo�her of Heads � Other. _
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