600 ROSE WAY 2016-10-04 - Laserfiche WebLink

PERfVili t4�PLICAI"ION BUILDIN�ECHANICAL I I'LU�iIBING / SIGRI �IN9�CLEt� I DEMOLITfON GITY OF EVERETT PERMIT SERVIC �V 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FFlX 425-257-8857 �(E) evereiteps@everettwa.gov � www.everettwa.gov/permits ' , PRA.➢�CT SITE IC�FORpVIA�'I;ON . .;; : ,::. . . .: : _.:. �JECT SITE ADDRESS �^ �L� � GS ` �j�{ PROPERTY TAX #: .iAL fo� new construction: Short PlaVsubdivision Lof No. (attach copy of �ong legal description) ,,,,. _ - ': � = BU.I;LDING'PERMIT AP.PLICATION_. .; _::., ,., ;:: :. ., ..., . , ^•� Existing Use of Buiiding: �%v�� 4�vY� ��•- ��j� ��:2��- � Contract Price of Work: $ % CC' -- Proposed Use of Building: Heat Source: �Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: C1Commercial ❑Industrial Type of Project: C1New �Addition ❑Rsmodel QRepair �T.I. C]Sign �Sprinkler C7Demolition C1Change of Use DESCRIPTION OF WORK: �J( a6�e , vl j�Vi�r� � J<r5%M7 /�I�=. lZ�/`�� l7j�'f �•VI-C I� �� lln I.ti/ ^ c�: � �� e,�c-l-- � � V�,�'^ �'-� ��/�.�. � � O�� ! � ��P �(i X�✓v'� v�� O s r - � i ASSOCIATED BUILDING PERMIT # (if applicable): ACKNOWLEDGEMENT.• 1 have reviewed this application and confirm the information contained herein is frue and correct. Work done pursuant to fhis permit must comply with current federal, sfate, and /ocal law. 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 circumsfance. I am the owner, or I am authorized by the owner of this properry to perform fhe work for which application is made, and I comp/y with the State Contracfors Law 18.27 RCW and 2s6.200A WAC. Cify of Everett Official Use Only -�� ) � � _ � � �� PERMIT# , �� , � ,' � � . � Z-ZC�� ,� �. � `�. , � Owner/Authorized Agent Signature Date (Revised 0/12/20' 5)