9911 23RD AVE SE 2021-12-15 - Laserfiche WebLink

PERMIT APPLICATION BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 j FAX 425-257-8857 1(E) everetteps@everettwa.gov I www.everettwa.gov/permits Use of Building: I Contract Price of Work: $ Cam( ) L/ _ _ _ d Use of Building: Heat Source: ❑Gas ❑Electric ❑Other TvDe: ❑SFR-Detached ❑SFR-Attached []Duplex ❑Multi -Family-# of Units: &ornrnercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair OT.1. ❑Sign ❑Sprinkler ❑Demoliition ❑Change of Use j DESCRIPTION OF WORK.jA-3- FL(- W '_, •tA. F&P— CLOSET I —' LA A-2 N.60; E j I—WE � �f--�,SN O �o)e02�i/uS / X7-� 0 1- �1 � TED BUILDING PERMIT # ACKNOWLEDGEMENT.• I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal, state, and locallaw. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance. / am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAG. I I ^ r-\ City ofEvereft Official Use Only & /I [PE7,(fl Owne uthorized Agent Signature Date (Revised 10/1212015)