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� <br />r� <br />u <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALlPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , L=verett, lNA 98701 425-257-8810 FAX 425-?_57-8857 vn•✓�v everet;v�a oig <br />ESS: �� (r <br />�J <br />lar rov Con;lruclion SP.ort <br />i� <br />Htv rnx n <br />Na <br />PhonclE�ma�l <br />(atta�h ccpy ol fong Iegal descr�plio�) <br />7 � �i � � - ��� <br />�daess Z�.� �Clif�i�� �i� �n H�-Vl/!I �c�ry�si��e�z�, �JI�iVL �i W 4 7,1'-/li � <br />APPLICANT:/ O::�er GrvneYs�g�nl ConlraUor _Ccnircler'sAgent _Tenanti�..:.r-��.ycaie+.;r�.�.:�-u�:m�r�e.���wro.�n,+rr�:;.,:r1 <br />CONTRACTOR fJLY� S ��l S I S State Lic # M Ci,y �us Lic # .., <br />qACress l S�� l�v� Q r'henNEmail �(_S ��O ' O 0 J� <br />TENANT BUSINESS AME CONTACT FOR PERh11T �e w�erh� ��" r��1QY Sl <br />I S�- c� e Ch �l�ua�.hhu �� �,.�,�_m�,� y�ns� <br />BUILDING PERMIT APPLICATION CONTRACTPRICEOF�'JORK y <br />E��sing Usc of Bwlo�n� _ YI`K..J.L�i.�I��l � <br />Prepcsed Use of L����.IG�ng__�`QS�1 wr�� � <br />Butldmg type� __ Smgle PamJy _ Duple� _To::�ho��se _ CviullrFamdy� Commeraai <br />Tyoe of Pro�eU tJzw AdC�ncn __ R.,mc�ei Repau ___ T �._ _�'9n __SPnnkb�r <br />DESCRIPTION OF WORK �a�d;:a��.vi sr.acc i,�o.r'e:� un t"�c ra=w� <br />at�e,�t-�-ra,,��% sic� �L ( lii ) • - • <br />�a I l <br />MECHANICAL PERMIT APPLICATION <br />�ypcolProjec�: _Nc:+_AAdn __Alteraiion_._Jicpart <br />ShowY.unrbrr(aJafhrfures _ <br />NC — air hdndl�nq umis <br />Gas <br />5 <br />Othcr_ __ __ <br />lSUPPRESSION <br />Number of lieads <br />rSouaCF <br />iednc___ Other__ <br />�_ Ch.n�^ O(USE <br />PLUMBING PERMIT APPLICATION <br />ofPmjecl�. __Ncw__Addn _Altcration_Repair <br />Sha w 11um6ci (a) al lu fums <br />Other <br />Gas <br />al <br />I neiehy ceml y I�at I �arc read antl evami��ctl i��s app�.�eGan enE kr.orv i0e samc to Ee vuc and <onecl An pmv��s,ons ol iaws and o:a�nances 5ovem�n9 i�is type ol �+o�k �n I bc mmp: eG <br />w,:� whelner spenlieJ nere�n ei nol. Tne 9ranlo9 0l a PCrm�.l aoes nol presume lo glve aulnenry lo noiale er caneel Ine provrsion oi a�Y ol�er sia:e or local law �egulatin9 censtruclion <br />Tnai I am :minenaed ty'.�e o�.ner el ims p�apeny to pertarm IA- �.mk lar �.Mch a;plc a0on rs matle and I romp!y wit� ��C Slale Cenlraeloa law 18 27 ftCVJ antl 796 200A \\'FC <br />9���'�/ <br />honzeA Agcot Si9naluw alc (Rc�iscd 3�:OU) <br />�I <br />