Laserfiche WebLink
� <br />� <br />PERMIT APPLICATION <br />BUILLIINGIMECHAPIICALIPLUMBINGISIGN/SPRINKl.ERIDEMOLI710N <br />CITY OF EVERETT PERMIT SER`JICES <br />a�nn rtP�ar Gt_ Everett. WA 98201 - 425-257-881 C— FAX 425-257-8857 —vwvw.everettwa.org <br />APPLICATIONS ARE ACCEPTEf) FROM 8 AM TO 4 PM <br />pf�p9tfYTAX# <br />�1/ Gv;�� �/ aO�2z q �0 5�c <br />fornewconsWction: Short <br />PERMIT APPL/CA <br />No._ (eflach copy o1 long <br />,� �06-¢?l� •� <br />3 --i % "/ Z <br />�ERMIT 11 <br />� I 203 -o I 3 <br />des:npUon) <br />y� <br />1� <br />�o <br />�._. _ �K//� <br />�r il'�'.3��c,�/ <br />PRICE OF WORK <br />Existing Use of BuilcJing ��f'� II�NYI'�����L %'�f��� �— HEAT SOURCE: <br />Proposed Use of Bui�dinge��� �����l�'�L�jq �•�`Ct� � L _ Gas ElectncT omer^ <br />E3uilding type: _Single Family __Duplex__Townhouse _Muiti-Family ,j�Commercial c.oL -+� I By-3�Z <br />Type oi projecl: _ New _ Addition ,_., Remodel i�Repair _ T.I. _ Sign _Sorinkler _Demolition_Change of Use <br />C <br />DescripUonofWork(aAdifionalspacepmvidedonfhe6ackJ� �C ����/��11���N��`U/�.�/�/�PC� <br />_ZN'.�fi� r`y�ionJ o.F A � ao/�i�/� <��� , �� <br />� — CZ 5 Ct ���iL�1C�C/ . <br />Have vou staRed working without a permit9 _YES ,�NO � <br />MECHANICAL PERMIT APPLICATION <br />ProJect: _New_Addn _Alteralion_Rapair <br />pLUMBING PERMIT APPLICATION <br />o1P,roject: _New_Addn _Altarotlon,_Repalr <br />Medical Gos <br />Other: <br />I hereby cerlify hat I have raaE and examined this �pplication and knC+v lhe sama to be trve and corted. NI provisions of lav5 and ordinances govemirg <br />Ihis type ot work vi�ll bo mmpliad with wfielher specified herein or not The grar.Ung of a permil dnes nol presume lo Bive aulhor.ty to violate or wntel <br />Ihe provision of any olher stale or local law reguletlng consWqion or the pertormance of cons'ruction. Thal I am euthorizetl by Ihe amer of lhis pioperry <br />to pertom•� the work for which appliptior..s made and I comply wilh the Stale ConVactors Law 1827 RC W and 296200 WAC <br />��1! 1�� { v ' `I �D�/ — (ReviseJ 220f f) <br />4'—' �ate <br />OvmarlAuthonzed Agent Igneture <br />�� <br />