Laserfiche WebLink
PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS_ PROPER7YTAX71 �ERMITR -�JI <br />5'�n5 �'� �, �� <br />�L (or �ew construction: Shorl PlaUsubtlivision Lol No._ (atlach copy ol long legel descnption) <br />_Owner _OwnefsAgent �CoNrector _Contractor'sAgerl _Tenantlm��ororaea�merorcrn�em�meo«oe��ooa«oa��u»sPe:e� <br />�honelEmail y,�5 �O7n <br />2 PERMIT � <br />i�1����nc=� IvI��sE�ri <br />. � ( J�y ,1 • I �1 � , PhonelE-mail � � � <br />BUILDING PERMIT APPLIC ION coNrRACT PRlce OF WORK ���m "" <br />Existing Use of Building �,� C r dn ' �— HEAT SOURCE: <br />Proposed Use of Building�" ti"i e'e 1+-i Gas_ Electnc Other_ <br />Bui�ding type: _ Single Family _ Duplex _Townhouse _ Multi-Family �[Commercial <br />T pe of project New �Addition Remodel Repair T I Sign Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (atlditional space n�ovided on Ihv bace): `�1 <br />�j>>i�JG �?�' �tl�' 1tc:[�' S1aK5r JAA11�C'12 SjN�� �.�11�G'REfISf%L <br />MECHANICAL PERMIT O.PPLICATION <br />ol Projett: _New _Addn _Alteratlon _Repalr <br />IS <br />PLUMBING PERMIT APPucw� i <br />olProJecl: _New_Addn _Alteratlon_Repalr <br />se.,w Numher !NI o/ flstures <br />Other. <br />Gas <br />1 hereby cetlJy that I �ave read antl e.amineE Ihis appLcation an0 know ihe same b be true end rortect. NI pmvisions ol lawi anE orEinances goveming l�is p�pe olwnrk x+� be compi�eC <br />wAh wiielher sDeufiea herein or no1. iTe granlinp ol a pertnA Ooes not presume to give aut�ortlY lo violate or cancel ihe provis.on ol any olher state or lacal law regulating wncVudpn <br />Tnat I am aut�orined by t�e owner cf ihis pmpe�y lo pedortn Ihe work lor �+TiU appliwlion is maEe anC I compry wi�h Na Stale ConVatlors Law iB.77 RCW anC i96 200A WAC. <br />� / � <br />r % � / �� 7/ � TJL ).� <br />� �� � � � L'� Dato (Revised 62012J <br />wnedAulhor(zed ABe�t Slgna�ure <br />