Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �J 'C - <br />ADDRESS: PROVENTYTIUfM PERM��n��� _x / <br />____ .,�...,...r. �.� rvcorrr ��in oa'fnt 1flf.dflfl(1Of14500 � � L� <br />ia nev, cons�n�c��un S�orl PlaVsuDdrvision ATTACHED Lot No _ lanach copy ol bng iegai Aewiptan� <br />a RnatFi• <br />4405 103RD AVE SE LAKE STEVENS, WA 98258 IPhoneJEmail 425-3 <br />pELMONTE vnonei[-mau <br />BUILDIHG PERMIT APPLICATION CONTruCT PRicE oF woRK <br />Existing Use of BulWing CAMF � '-^' """ <br />Proposed Use of Building SAMF Gas [kv:mc O�her_ <br />Bu��lding type�. Single Pamily __ Duplex _Townhouse _ Mulli�Family ,_ Commeraal <br />iype of prqect _ New _ AtlAi6on _ Remoael _ Repair _ TJ _. Sgn _Spnnkler _Dr.mdlhon_Change of Use <br />Desccp6on oi Work �oedrtronai sF�ce pmnaeo on me oacq . <br />snnnE <br />Have you atarted working wilhout a permil7 _YES _NO <br />PERMIT <br />PLUMBING <br />ol P/o�ect: _New _AEan _Alteratlorr _Repsir iTypa ol Profec�: _New _AEdn _Allara�lal _Fapelr <br />Show NumDcr (�) ol /l.tures Show Number (N) o! /Irtures <br />Hea� Pump <br />Umt heater <br />smk <br />washer <br />floor tli <br />Grease <br />Medical Gas <br />Other <br />� nereby ce��dy Ihat I have reatl a�W evamin�d thie apphca�an eM know I�e eame to be bue an0 cortect All proviewns ol lav.s ana a0inances governing <br />ihis iype o� �wrA vnll De rompi�ea v.rt� whelher spec�heC herem or nnt The gra�Fng ol a peimit does rwt presume to grve aN�onry to vidale or cancel <br />�ne pmv�s�on of any other siile o� Ipai law regulalmg constmction or Ihe petlort�er�ce ol constrt¢Ian That I am authonzM Dy the owie� ol lhie propehy <br />��� �drnm Ihe �ih lor vRuch app�icatwn is made and I cumpry �t� I�e Slate Coalraclon Law 1B 27 RCW arM Y98 200 WAC <br />�� �- � ��3/!t <br />Ow r/ANhorl:etlA enISIBnaWre Date p7evrse4l/1011; <br />