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SIiE <br />� <br />s <br />PERMI�' AQP�.ICATION <br />BUILDING/MECHANICALIi'L.'iJMBIfVG/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT P[RMIT SERVICES <br />3200 Cedar St., Everett, NJA 98201 425-?57-8610 FAX 425-257 8857 vn�nv everetriva org <br />�►1 <br />LEGAL lor re:i conztruu�on Snc�t PiavsuCd��vawn <br />� <br />rnx n <br />�,_p� ; 1;� ',.�i��3�n Ccpy ol lorg ICUaI tle,criptionl <br />AZC- <br />\ <br />NT: O�,vner _O�anersAg�:�: �Con;raetor _.:orlrac�or's�:e�f _ Tenanir�,�_.�cec��,r��...:�:.•�:c-,;•,..o�,."�.,=:,•.oa�..o„ro.c.�-,.� <br />CTORE�E.-. F�Hfw'tw� -- Statei ��cv��sFF���L`1 CityBus Lic # __ <br />('f.iwa�«O'a���1cT�+L—. . ... . . �n..norcmail Ll�!_'_�4ti\—I1N�r. <br />`t�lP R�+?�-7 <br />BUILDING PERMIT APPLICATION <br />t�N Q�EstSc.��R� <br />-mad 4.2��i-1o22.-i�'SZ� <br />CONTRACT PRICE OF WORK G �O� •�"� <br />E�istirg U>c nf f3.,�ICi^� R£S�OE+-i"[�AL- S�h-'���� r"��L�! L HcAT SOURCE. <br />F'roposed Us� of Bu-.lo.rg S�''`�'"- �A�"`��"'� _ � Gas Fiectr',c_�C Other_ <br />Eiw'd�ng type � Sing'e Fam�-y _ Duplex _Townho�se _'dult�-Fam�iy _ Commeraal <br />t,pe of prolect Ne:+ _ Addition __ Remode� _ Reoair _ 7 I _ ��qn ___Spnnk�er _Demold�on_Chan,e cf Use <br />DESCRIPTION OF WORK %aaamonai sp�+c� woviCedon me back) ������� �p� <br />FiEQu.�-c E'��S : 1•.•_ta Q*lQ. `AA�+-O:£ll_ R�-O. `?�EP:s 4•>e'�Q <br />���� P.�a. �ac�..e�L-.L Pc-�c� ��ieM-c �Jt-.F , �E-.»� Et���a��kc.< <.�c�,fL�c.t�. <br />M�CHANICAL PERMIT APPLICATION <br />Type ol Pro�ecl: _New _AdJn __ Alleration _Repair <br />Sfrow Num�rr' (�) of Oxfu�es <br />j � A/C — dir hennhng um�5 <br />I Foreetl a�r systems <br />i Gas pipin9 <br />Gas <br />Exhaus�ian <br />Hcat purnP <br />Un��lhcater <br />SPRINKLERISUPPRES <br />i Nunber o( Hea; <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Atldn _Alteralion _Repalr <br />Show Numbcr IN) of lixfuros <br />Shor+er <br />8 <br />Wnter healer <br />Sinh (;erviccibar�m <br />[3ack(low preventer <br />Unnal <br />Dnnkmg Pountam <br />tdedical <br />O�her <br />i r._,�.py sen�.ly t'�.t I tuze rea] �n] e•aT n^_tl �.�u apD'��=atcn ar.� �nen I�e same io be'.me antl correct nli provrs�,ons cf law; an0 orana�ces 5wernin9l��s type oiwork wvu Ce cc�n��'.e. <br />. rvt _..ar sGe�fed Y��rein o� �cl T�±q�an'. ng al a pl�rrr: tloes eW C�e=.u4�C lo yrvu Jb:�coty t0 v c 5L` c� can:c 1� p�� 'iv.c� N a/ 1 v" >'al a� w� �T reg��]I rg ccnslacl�c� <br />� � .i.v�a'.eCo��. �:�r.:Lsn i, ..�.�r�4:�i:J^:..` ._ <br />TI-�� I JI➢ JulI1G�� c� �y IhC CAfI^-' LI Ih5 D�OLCfy IO i.C�yOlm IPC NCP IC' �vll'CM1 Bpp��G]IICO i`+Indd: 1^41 C^T: y�• ��� <br />C <br />� �� Q121.c!2a'� <br />wnerlAulhoriz d Agunt Siynaturc <br />.,3.c iPencgd 3'2p13) <br />