Laserfiche WebLink
�ERMIT APPLICATIO� <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />.7 <br />rax a <br />x <br />lor new conslructian' Shor1 PlaVsuGdivision Lol No._ (atlach copy ol long legal descnplion) <br />� <br />_ Owner <br />h <br />�✓t.yy <br />Agent _Confractor _ConiractoisAgeN _Tenanlfmus�prodeeaieimraeonsam�romuroo«rnrmooweainmespaal <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />Lic. # jJp/�/�L <br />PhonelEmail <br />fACT FOR PERMIT <br />IE-mail <br />fRACT PRICE OF WORK <br />Lic. <br />Proposed Use of Building � Gas_ Electnc_ omer_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Mulli-Famiip _ Commercial <br />Type ol project: New _ Addition Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPTIONOFWORK(add�tiona�spaceprovidedonmeback): ��� ,��,.�p/ �fpy�G� �'n C/o-w/ <br />Si�i<G <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLIGATION <br />ot Projact: _New_Atldn _Alteration _Repair <br />Gas <br />otProject �New._Addn _Alteratlon_Repai� <br />Olher: <br />1 here0y ceMity Ihal I �ave reatl anE examined t�is appGwlion and know' Ihe same lo be Ime and torrect. All piovisions ol laws and orCinances goveming Ihis type olwoik wi7 be complied <br />wilh whe� u6e0 �erein or not. 7ne granling a1 a pertnit tloes not D�esume to 9ive eui�orily lo violate ar wncel ihe P�ovisian ol any o�her slaie or laal law regulating conslrvclian <br />T� em a � Ey �h wner al lnis propeny to perlorm i�e work Icrwnkh appliwlron is made nna 1 wmplywnn tne State Contraaors lew 1B.7i RCW anE 296.200A WAC. <br />�� <br />Signature <br />(Revised 3ROfJJ <br />