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PERMiT APPLICATtON <br />BUILDiNGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY O� EVERETT PERMIT SERVICES <br />3200 Ce�ar St., [verett, �NA Qft20� A25-257-8810 FAX 425-257-8857 www.ever��ettw� �9 I <br />_ PFRMI?# _ ., � <br />/ .� L} �Af �I li <br />for new consiruclion'. Short Plavsu�alvisiun_ <br />�� � � <br />a i�i�-.i �� ��;•., � . ;�..v _ <br />TAx U <br />No._ (atlach cepy of long leaal description) <br />��.(� �� � <br />Z �% <br />��, cv.r ri��,_, — <br />Owner Owner'sAgent �Con�raclor _Comractor'sAgenl _T<_nanti,��.:;�:�ov�aeaie�^00�""en�aoworv.���No�;.�>n <br />-% S' S� �S�Cit B�� :. Lic. R <br />C > + ��, �._ L' #tlV� I.C�SI%�� Y <br />, <br />TOR ! i�t,2 n- � .� E� I � m� ��'✓.�' . <br />"l � �%� I�%!�—'li'� LL�N (� �� <br />ILDING PERMIT APPLI�A710N <br />�wisting Use of Building <br />Proposed Use of Building_ — <br />6iGlding type: ✓ Single Family _ Duplex ,_Townhouse <br />te ic. -- <br />( ) ' - % � �!� <br />�vJu� PhanelEmail I��� `'/ � '� S <br />iNTACT FOR PERM' ` <br />?nelE-mail <br />)NTRACTPRICEOFWORV. ��E��, <br />HEATSCURCE: <br />Multi-Family _Commercial <br />�e ui N���.:�.. ..... —. _ — � � <br />SCRIPTION OF WQRK (addilional space pmvidedon fhe Lada): ��� ���;,.,� r;.t_ /? iu�t[ <. � <br />c1 n. �'�C �'�p_hl h / (� a,; <br />r <br />MECHANICAL PERMIT APPLICA710N <br />of ProJecC _New _Addn _ Alleration _Repair <br />ci...�.. Nun.hnrlql O( /IF111lCS <br />IS <br />Change of Use <br />W�-l{=/Z fLi'�%�''Y: <br />pL,UMBING PERM17 RPPLICATION <br />of ProJect: _New _Addn _Altarelion _Repair <br />��.,.,,, u,�.�nrr!#1 o//ixfures <br />Other. <br />i�.,,,,.,...,...-- <br />I �ere'�y cehdy Ihat I have read and exam:ned Ihis applical�on and know'ho same lo be Ime and mr,ect A�I pmvisions o� la�rs and orCniances govem�ng!his typo cf via:k rnll Ce cem�Scd <br />;.;.n v;nel�er specdietl �erem or nol. T�e 9ranling oi a perm�.t does not Fresume l0 9rve authoray �o vielale or wncel lhe pmvislcn d��'J ���'�e1 s'�''.' �� �=-�I la�n �en�.n�'��n9 conswcbon <br />1 n�! I:nn authonied by t�e o�vneLol t9is Qwperty {o�erlorm ino wo�k fo� �vhicb appliwlron Is maGe end I comply wlih lho State �.c llraCc�:; l:, r � z7 �C'�:' am� �Cr,;� y[AC <br />� �l <br />� �<.;-' �� . � /"t-�� �ti �� �� <br />�/ , > <br />` �_. = - (Fevieed3/2073) <br />OwnCdAu�hOrized �9ent Sign:durc <br />!7alc <br />