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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everelt, WA 98201 425-257-8810 FAX 425457-8857 www.evereltwa.org <br />APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />ADCRESS: PROPERTYTAXaQOBOF)?OO-0O4�OZ PERMIT# <br />220 0lympic Blvd Everett � � � '� ` <br />(L lor new con;lruclron. Short PiaVsubdrvison Lot Na__ (allach cooY o1 lo�g legal descr�ptionl <br />ER T-Mobile c/o RealCom Associates - Allison Zike vno��;e�m��i (�z5) 274-4444 x112 � azike@realcomassoacom <br />ss 14432 SE Eastgate Way, Ste. 260 c��v;s�a�e�z�PBellevue, WA 98007 <br />� wner'sAenl Conlracior Conlrac�or'sA9en� Tenanl�^�ir-.asa�e�te�r.a=�e�-.i��u^��^coeme:maowa����'escr_e� <br />.ICANT: _ Ovrt��cr � 9 — <br />raecmtt BD �>/i "( �[� [ �i�! ll/�(.'r �% i� L& I Lic. # COE Bus. Lic. N <br />PERMIT APPLICATION <br />ExiSiing Use of Building �elecommunication �acihry __ _ <br />Proposed U5C 0� Building lelecommumcauon fanliry_ ____ <br />Building type: __ Single Family _ Duplez _ Tovmnouse Multi-Family <br />r•��� �I pmjecP Ne� Addilion ✓ORemodel _ R�air T.I. : <br />DESCRIPTION OF WORK (add�r�onal space provitled un Ihe bacd�: <br />Replace/upgrade three (3) existing antennas on flagpole <br />MECHANICAL <br />ol Proicct�. ,_New_Addn _Almratlon _Repair <br />Shaw Number (tl) a! �ixfures <br />AiC – air handlinq uni�5 <br />Gas <br />�an <br />0 <br />Phone.'Ema�l <br />PRICE OF WORK <br />m <br />PLiIMBING PERMIT APPLICATION <br />ol Projecl: _New _Addn _Alteralion _Repalr <br />Show Numbe�lMl ol Iirtures <br />A9edical Gas <br />Other <br />Olher: <br />1_r��Y,�riRViM1atlh:i.� afv�e: 11� nil i.� doL�p�r,y��Psamelc� �.z �i 1.IIf�� ,rnisolqrsei�oa�as g em pl�ist��noliork��Abeion�plied <br />-.iw1�UM1e .oe i..11. i� li .{ 1 �� f�.. t f s.iatVresumpto9 ��"� t lilt eir� �Itbef�ov¢o tl �)[1 . cl iro loc�lliw« q iT Ico�-t r��on <br />llsi118RTit�Oz�CI)111urM �tpllP�tprJpertYl,�'..I�.��IhChoAlOtWll+.11pp(Ic :.��.' f� flr-.'i'.plyx'.,�Il�eb���Ol. �IritYSLNw10irRClJdrv.'_(i�J/�1.AC <br />(�,�,s-., %�,V�_ NAI. �Z 11+f� <br />OwnedAuthorized A ent ignature <br />Dale �Rewse�i 6 7012) <br />1 � � � <br />i� <br />