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� � <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Fverett, �VA 98201 425-257-881D FAX �725-257-8857 www.everetlwa.org <br />o� �,.se-r c 1-F ter'w�, � w\ <br />for new constructiort Shotl PlaUsubdivision Lot No._ (altach copY of IOng Iegal descriplion) <br />V�U � �" �� � <br />�� � �3�� 53< <br />VT: _ Owner _ Owncr's <br />:TOR A i i-�- (�W <br />/'� I O�VVD ' <br />� <br />-D 55 <br />� ' Q,�M�NZ1 (i �'hone/[-meil <br />�}D2Tefun��lzl ity/SlalelZip t'i�-���1 VJ� I`�ZlJ(Q <br />�COfllfalC�O! _COOIfalCiOf'SAfJCPI _TCf1d01�muslproviGooloi�ciolronson�immt�e�nnc�toGpwonlnl�c;p:rzo) <br />�a r � o�. E��k+ <br />BUILDING PERMIT APPLICATION <br />Ezisting Use of Bmlding (�r� 1 �eth"•"`Ll �-- � <br />ProposedUseofBmltling t"O``�� T�hn�H2` � <br />Building type _ Single Famdy _ Duplex _,To�vnhouse Multi-Famay � Commerc�al <br />Typc of projecP New _ Addition Remodel __ Repair _�T I. __ Sign _Spnnkle� <br />DESCRIPTION OF WORK Ietlrfmonai space pmv�ded on the backl: <br />�,�,�re o ld Pz��� y e {����- �k,P o��i � <br />� 5 Fz� <<�� P-��-� -�;� u�� a-S <br />� <br />SWIe Lm. N ��- �(' � Cdy �us. lic. <br />I ���2 Phone/[m il �Z� ���p - �'� <br />CONTACT FOR PERMI <br />PhoneiE-mail �\�' �� �%'-P <br />CONTRACT PRICE OF WORK �� sa% <br />olProjecl: _New_AdJn !� Ailcralion,Repair <br />Show Numbcr f#1 ollirtures <br />- air handtutn uni�5 <br />air <br />SPRINKLER I SUPPRESSION S <br />Number ol I Ic�d: <br />HEAT SOU <br />of Use <br />of Projeel: �New _AAdn _�ll�eralion __Rcpair <br />Show Numbcr (qJ ol Ii+fures <br />FIUOf f1fB111 <br />Gmase Ira <br />tfedical Gas <br />Oiher <br />Olher <br />�� <br />I IreicbY �:��Lly N;tl I l�avc ir:�J and c.aminc0 tA�s :�ppl calmn:�ntl know Ihe samc lo �c Imc and <o�mcl MI pinv,ions ol laws anA o�d�nan[c, 9ovemmp 1�21ype ol Hork w�ll �e �ump��.r�t <br />vn�h whulhe� .pecl6etl hu�e,n or nol The 9�:�nling ol a perm�l tloes not pre,ume lo 9we aull�only lo viala�e or cnncrl lhe piovis'�un ul anY �Ilin •.IaL: rn Inwi Lin �e9ul:A�n� cun;ImcLon <br />I�a11, m aW�o� IL �� p�nperty to pceloim Ilm work Ior whmh, ppheation u mndc and I wmply willi I�c $lalc Cnmmrbrs 1 avi 10 7� RCW anJ 29G 70CA WAC. <br />---- �5 �c� r, <br />Owncr� ytl orimA Agrnl Signalum Ual (ltPvised 4/?01S) <br />' \I� <br />