Laserfiche WebLink
r <br />�P�R�li APF'LIGAi[ <br />�lJlLD�/ ilFi�CHA�iC.4L 1 PL.UIUI�If�IG / SIGi t Ri��CL�� / D�[1J�Q�.Elf'IOi� <br />CiTY OF EVERETT PERUIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 j(E} everetteos@evereftwa.gov �+nnNw.everetiwa.govlpermifs <br />�e+nw,p. vw :s�usu�.uo ynurw wriuu�j r u�au��� -. . u ..�om�.. _ _ _ <br />PROJECT SITE IaDDRESS: ��L'�" t���..� �=-��[ . . . - .. .. . <br />�� PROPERTY i'AX #: <br />LEGAL far new construction: Short Piaf/su6division Lot No. (attach copy oflong legal description) <br />,. <br />I" _ -=` : -;.BUILDING. PERMIT.APPLI,CATION <br />Exisiing Use of Building: Contract Price of Work: <br />Proposed Use of Building: Heat Source: as <br />Building Type: SFR-Detached ❑SFR-Aifached ❑Duplex ❑Muiti-Family-# of Units:_ <br />Type of Projecf: ❑New ❑Addition ❑Remode! ❑Repair .I. ❑Sign ❑Sprinkler <br />DESCRIPTfOH OF WORK: <br />,,�,.t,.�'-� j��.�- t—=i;.;z� G{'t�'e.� -�i..✓'+.-i...t.'t�� i,�..°i TH- C �` O���'� C G> t� <br />J <br />TED BUILDING PERMIT # <br />h� ..5, �JG`�'%' . �.� <br />� <br />❑Electric ❑Ofher <br />❑Cemmerciai <br />❑Demolition ❑Chanc <br />❑ Industrial <br />of Use <br />ACKNOWLEDGEMEN7:� l have m.viewed this applrcation and con�rm the rnformation confained herein is frue and oorrect Work done pursuant to this permit musf comply v✓ifh <br />current federal, str3te, and local law. The g�anting of a permit only a<rthon<es approved wo�k and no deviaHons theref�om. Deviaiions musf firsf be authorized in wrting from fhe <br />Building Olficia( before being authorized under any circumsfanco. I am fhe owner, or 1 am authori•rsd by fho owner of this propedy fo perform fhe work for �✓hrch applir;ation is made, <br />and ! comolv with the Stafo Coniractors Law 98.27 RCbV end 296.?DOA INAC. <br />rized Agent <br />Gify of Everetf O�cia! Use Only <br />PERMI <br />o-- 2..�- j�. , �Q <br />Date (FZevise 5/20/2096) <br />