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u <br />� <br />PERMIT APPLIG�iTIOfV <br />BUILDING/MECHANI�AL/PLUMBING/SIGN/SP�ZINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />S?_00 Cedar St., �verett, W� 98201 425-257-8810 FAX 425-257-0857 �v�v�v everetP�va.org <br />ADDRE55: <br />lar ncrv can;tmclion- Shorl <br />� <br />arv rnx+i <br />No._ (���'�hwpyo11on9lcgaldCSUiFtion) <br />2S• Sa3- t Z7. <br />LICANT:_O�vner _O�.vner'sA�r,nl _Conuac�or _ConlrsUoi�A9ent __Tenant(mmir�m,m�ai•:i��oicc�se,,���oai+oo�ncrmeo+o:xn�no:n�,��l <br />ly`►�I <br />LDING PERMIT APPLICAYION <br />Fxisting Usc of �uBding <br /># <br />i;,�� u� a�FERf� � l 07� Pnl c�iv o�5 uo. s <br />�nnP ��,o��,�m,i yzs-yZZ�qaq <br />'�ONTACT FOR PERMIT <br />K L t-4o�►{ nvi s i � c4r�c 4�.1'• nir� <br />honcl6mail 2(](n� �ihh• —�t�y'��_ <br />ONTRACT PRICE OF WORK <br />HFAT SOURCE <br />io5ed USC o( �wlding S�� I Gas_ [IeclGc� Olhei_ <br />Lng IYPe� X Sicyl^ fanulv __ Duplex._Tcwnhou=_e _ A1uIIrFainiiy _ Cemmercial <br />� of pio�ecf _ New __Adtlition = Remodel __ Heparc 71 __ Siqn =5prinkler = Deinohlmn__ Cha�_qe ol Usc <br />iCRIPTION OF WORK (aelr>>I�onal spa�cIe providedon Ihr bark) n <br />�/(.e D c(�w��,c�,oc� 'c�lome �Q.�auto � I� e d ei etzrt �N�k� <br />MECHANICAL PERMIT APPUCATION <br />Type o/ Pro�ecl: _Nc,� _AA�n _Nlcralion _Repalr <br />Show Ilumber(NJ ollix(ures <br />NC -- air handling unils <br />I fmced a�r syslems <br />Oi <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />olProjecl: _New_. AdAn _Allcralion.__Repair <br />Show Numbcr (p) ol lirtures <br />Medical Gas <br />Ulhcr <br />I ���emhy r.etlJy �hat I have ie> t and r� ammcd �hn appucalUn nmf V nnw Ilw sam^ lo Ue Uuc nnd conecl. pll pmvu. ons ol lavi: and c�U'nano�; qovcmmq Ihi, lypo ol wcrk vcil be cun��u ��.�d <br />w�h a:hclhcr .pcufcd I�,rimn or not T�� qianting al a permA dae; nol presume �n qive eWPonty lo woiale or cancel iAo provivon ol any o��n siale o� lowl law ieqWalnaq mn:imCrr.0 <br />1 �a� I am aul� a¢etl I�y I�c ow c� cl ��u: p�opcity lo prrform Iqp wo� k fer wMcli apPl¢ailon �; mn�e anJ I comply en•h «�,n Sf aiu f. anh:ulm :1 .�.v I R 17 Rf,�7. nrl :^, 7C0.4 VJAC <br />�V"'"'���' 4 ! � � _ "'"_'"' <br />