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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITIC�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Si . [vereti, �VA 98701 425-257-8810 FAX 425 257-8357 �+n+nv.everetiv+a.org <br /> SITE ADDRESS: �/�� / ,/j� �/ , // , I d ,�� PHOFERTY 7�%n PERMI tt <br /> 7 �7 //! L..V /l/ � i j� D � �j <br /> LECiAL'a ^c« '- s'r�_9:n ShGtl�Ig[EUE�io¢ion lc�No �n"arh m:/cl'^r�I=�al�e�-rippr,r', <br /> OWNEH � rT lI l � � . G/ND(jE/Cc�7 P^o��,E.m�� o G G d - y�o � <br /> r•cm���.s S/C{ YYl EL✓�n� A ✓E � cty�staicmo Cl�ctiE'7(- tNA �! �`Z �� <br /> APPLICANT: � O.vis� ._ r`vireisA�cnt Con:raciot Cc^Pac!_r'SLgcr,1 _ 7.•rani�-�..�r.-,r,�,��,.,..,�..,,,.,...,�.� ..,,,� ...«�,..� ....�, . <br /> CONTRACTOR ^ S G�NS%�Zk L !�d/J �S � ' <br /> ta'_ L�.c p Cil� L�s I ic x ��� <br /> u�.�•,,.5 i..,. �r��i <br /> TENANT OUSINESS NAME CONTACT FOR PL=RMIT <br /> P��,rc+ - <br /> / <br /> BUILDIN� PERMIT APPLICATiON coNrRaCT PRice OF woRK _ __ <br /> Fnsb�g Use c�6u:ltlmg���7L� ��r/f7/�-y�'�//��/UC� __ IiEAT SCURCE I <br /> Propcsed Use o(6u;o-r�3_ jAn'1� � _Gas [iectnc Gther <br /> f3sld�ng type �frn3�e Family _.Cup'ex__To�vrho�se _h9Wti-Fa�n�!y _Ccmmerual <br /> Typ?^!prc;ect New Adtlmo� _Rerr�del �Repav_T I S��n Spnnkler__Dem�l4�o�_rha^ye c`Use <br /> DESCRIPTION OF WORK �a; ;,-,��s:�,.:^c��:�c^��=�•^^t3�'-, <br /> I /���,J F�C�+r � f r�-�K 5?.9 i/Z Va� �crs%i�1F' L.4ni4 ��� S. <br /> MECHANICAI_ PERMIT APPLICATION PIUMBING PERMlT APPLICATION <br /> Typc ol Pro�ccC ___Hew_Adtln _Alleralion__Repair Typo ol Pmjecl: _Naw�Addn __AllcraUon_Repau <br /> Show Numhei;p)ol Iirrores Show Numbrr 1 p)ol lirtures <br /> I ArC—zir handlr..y u�;c � Tr.de� <br /> � i-�rced air systems ' 8aihtub <br /> ' Gas OiGmg � Lavatory(wash basm) <br /> ; N'ater heater I Shcrier <br /> ! Gas fiie0���" � Kdchen s�n�8 d�sposal <br /> � G3s rang� i Oish�vasher <br /> � Cl�thes dryer Clo'hes wasLcr <br /> Ranae hood Waler healer <br /> Exhaust fan Smn(servicelbadmop�elc ) <br /> Heal puma � l3acF0ow preventcr <br /> UnA heater Uural <br /> i p��i�� i Ucn�mg�ountain <br /> Reingeralron � Floord�a�n <br /> � Woodslove � Grease�rap <br /> Ductinq I Rooldrains <br /> � I pp�„� Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM i oth=� <br /> I:w��ber of Heads � Olh?r. <br /> �r.P,er.y:en.ly iqn�i ha,c��a i a�.�u.irv.�.�R s arCl-al_r,ana�-o�.v�'�e sa-��o:o[e irve and co�ecl A'I pronsions al laws and c�7inances 9e�erning fhrs lype cl w0�%w�ll be cor C�P� <br /> w�•��..'���.•..i•.;..;'e�i�.ca-n_in��. vreya��•naa'aFar�cecesnctpresume!:g�.rae�ho��ylovioialeoreencclNeprovi5ionofar�ol�nslateorlorallaw�egWevvgconsvuct�o� <br /> ':1 i��a�.�t�o�i+e��y R•.e onn cf irv .�^Cr-r�., C .r,V�c won rr�xn¢h appu:�uon is naCc 0n01 tomply wIM1 lhe'_�ta'e Conlraticr5 L awv t B N RNJ nna;c6 7C94 N'SC � <br /> � <br /> L <br /> /v /t� / <br /> OwncrlAut�orized Agenl 5ignature [-'TI'-' � '`>0""::�'�";t�� <br />