2708 FOREST VIEW DR 2017-01-13 - Laserfiche WebLink

�'�f:�ldl�l f��'�'�..1C�`y'((� �3lJI�.�IP� �ll'i�C�—I�V�1�A�./ �d..11�l�l�i� / �1� �P�I��C��R / D�f�O�,l'�ION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everetiwa.gov/permifs - _ ` BUILDING. PERMIT.APPLICATION Existing Use of Building: Confract Price ofi Work: Proposed Use of Building: Heat Source: �as Building Type: L�FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units:_ Type of Project: ❑New ❑Addition ❑Remodel �Zepair ❑T.I. ❑Sign ❑Sprinkler DESCRIPTION OF WORK: ; i��s;-v��w i)�-cF� � �=�t ( f+�a�T i; ��L4�:�, S�Y ,�r�,�,� IASSOCIATED BUILDING PERMIT # (if applicable): l L� ,� . �� ; �`�. [;�lectric ❑Other ❑Commercial ❑Demolition ❑Chanc ❑ Industrial of Use IPLIIM�IMQ9 PERIVo1'i'.:APPLICAT10I�9 Type of Projecf: _New _Addn _Alteration _Repair Ftxfures �-�st of Fixtures Fixtures List of Fixtures Toilet Backflow Preventer (Inside Bldg) Baihfub Urinal Lavafory (Wash Basin) Drinking Fountain Shower Floor Drain Kitchen Sink & Disposal Grease Trap Dishwasher Roof Drains Clofhes Washer Medical Gas Water Heater Other: Sin{< (Seivice/Qar/Mop/etc.) Other: ACKNOWLEDGEMENT.� 1 have revrewed this application and confirm the information contained herein is true and co��er,t. V%rk done pursuant to this permft must comply witn cu��ent federal, sfate, and local law. 7he granfing of a permii only aufhorizes approved v✓oil< and no deviations therefrnm. Deviations must firsf Ge autf�orized in wrifing from the Building Official before being aufhorired under any circumstance, I am the owner, or I am authorized by the owner of this properfy to perfonn the work for which applicafion is made, and l complV wifh the Stafe Contractas !_aw 98.27 RCW and 296.200A WAC. Owner/Authoriz�d Agent Siynafure /c�� - � —r Uate City of Evereti Offcial Use Only PER�fI�� V�I ' (Revised 5/20/20i6)