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PERM17 AP�P_IC�I"ION <br />BUILDI�G/MECHANICALIPLUMF3ING/SIGNISPRINK�ER/DEMOL@TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedzr SL, Everett, WA 98201 425-257-8810 FAX 425-2;7-SS57 vn�,nv.everelh+�a org <br />SITE AUD tESS: <br />ST <br />� � 02 — IS <br />F SYT" <br />Zo�;o���v 561-03' <br />LC-GAL(orne�.vconstm;i�on; ShcriPiaVsuSoivicion__ loWe.� (���achccpyoflonglegaldeseipllco) <br />OWNER �(/ C,C��rr �/o�f���� ����T��.L%�/ Ph�nrJE�ma�l �/ �/j� �%Z� ---_ <br />AC"r�...rG� l/ U/L �.% y� ICiydSlale/Zip �[/C�� �� ��/'� ��`/� VV <br />APPLICl1NT:y O.mer __paner'SFg[rt _ Cenir,:�(o� __ConVaeloi5Ay2nl _T=n2n�(m.cs:po��:eaNarG�o�:em!mn,:.>,nri¢eo�wnin.x <br />:COiJTRACTOR/j��l�Q � �/l�,frj�, S!afeLic.' 62iJ�C /y� CIIyBvaLic.»�3%pC <br />ACCre" ,��Z � , C/N �� / � �, Phon=1[m3il �G.J✓ G�/ QD S 7 <br />TEN�IIJT BUSINESS NALiE CONTACT FOR PERlJIT / r- <br />6�/',�/ �l�v ��%�U� y'/9 �a/i/ �,/�F� <br />/�.! ! / __�_— —'— Phone�E�maJ / G �J�1��� I�� ����J��Yi7� <br />Bd11LUWGPE�1�71ThPpL1CATI0C� CO.VTRACiPRICEOFWORK %,OOU,�jO _ <br />Exi=_ting Use of Build�mg �/�� <br />— _ �� HEA�i S�OURC[: <br />Proposetl Use of Building___ _' Gas V E�ectr;; oiher <br />Buildirg type: _ Sir51e Fzmily __ Dup�le/x �Tov,nhouse ✓ Muiii-Family _ Commarciai <br />Typz of projecC New Addition V Remodei .�Repair _ T�I. Siqn Sprinkler _ Demolition __ Chanqe of Use <br />D[SCRIPTION OF WORK (addiuona� space p;m�id�d on rho bac�;; : <br />,r/o�v sr`.Q�c T v�R C, F/��/�" C'CoS�>s 2F"�l,q C� <br />�D2��qc�, �.�s��«rE' �X� l�accs <br />_ ,_ <br />I�/IECHANICA� PERMIT ApPLICATION � PLUtABING PERMIT P.PPLIC.�TION <br />ofProjecC _Nevi__Addn _All�ralion_Repair <br />_^ �— i <br />SPRINKLER I <br />- air <br />oftieads <br />ofProjed: _tlew__Addn _ Allcration__ R?p3ir <br />$hrv ��umGcr l:I a7 /im,r,.. <br />Ne.dical Gas <br />Other. <br />J <br />I �c�`�y cPildy Ltial I have m.�� an� m�nmM Vu; appfei,ion y�d kiwn I�o:ame to be Irue:md wn.;A.,td prov^Jm, cl Lrvr -M orOhanms poveman U�h ryp_ c� vmh vr9 6e mmpl <br />wiRivRmlhersped,`^AhemsornoLThegmntinpolapertnittlxsnclpesum�taSHeauNonlylovi9l�leorwncrJCioppvi5unriarryo�Aerriil,�orloe9LrvreGN���9wrrhuttori.. '_ <br />_. <br />�dbyNnwmerollh-,Prop`ertytoperloimtlieworklwwhk.�:,N�r.rontmaCeanGlcumpyw7,hNeSlateContrdcbrs�ax1077RLWand796I00AWAC. ..' .. <br />_-- _.-Ratl�. . • __— . . -. <br />, : _ �.Zq-/� <br />. ... Owned fo ecdAgenl5l�mture ---- �� -- Dalc � ' - ��- � ����� ��'��- . .�..... �.. <br />,.°- ' ,- ;`, ��o�a:edsno�a�: , -- : _ <br />