Laserfiche WebLink
� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CIT`.' OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, iWA 98201 425-257-B670 FAX 425-257-8857 �w+w-everettwa org , <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L �+�`I �/ <br />AD�RE55: <br />EGAL Wr �ew consuocc �n. Sho:t <br />i7ress <br />TA%P <br />r <br />t c: No __ 1ana;n copy c' bng �eqal Cesa pro- <br />elE-maJ 4ZS�4�Z��6S7 �'�SC�UeI <br />itatelZ�O �1�i�E W f�'� 1�J G� <br />T:�Ow�^r _OwnersAqenl _Coolraclor _Co�'+t�ac:oYSAgent _TenaN�R�urm.•^-aaHro�m�•�.�,r•�n••eo.rM�om���..-�,..•r.r.n <br />& I Lic # <br />CO[ 6us I.�c # <br />PheneE�^1a I <br />BUILDING PERMIT APPLiCAT10N CONTRACT PRICE OF WORK O� <br />EM�snng Use cf 8��,'�ding �QSi aH �P � HFAT SOURCE <br />Proposed Use o�f /Bwld�ng �eSr� e•��Q Gas Eiednc O��+er <br />Bmltlmg ;ype /� S�rgle Fa��!y _ Dop'ex _Townhouse _ P,Au7i•Family _ Commercial <br />7ype o1 pro7eU New Addibon Remodei � Repair TJ Sign Sprmkler Demohlion Change cf Use <br />DESCRIPTION OP WQRK �ada�!,o�arsp�ay�p�o��dedontnebay�) / I / <br />12eP1�� l�eu�er ove�^ 51r?�'��+� ��c.55 dA�f"�o a��etaJ-�,r �ner.J �iec l;ty'h,�t�Y.b�n, <br />�w;►� aa�r�,,;5 ,va�k as <br />a revisicm� <br />MECHANICAL PERMIT APPLICATION <br />TypoolPro�ect: _New_Addn _Alterallon_Repair <br />SM1ow Numbcr (a) ol l�rNres <br />� AiC -- art h.andh�q un.IS <br />I FO�CPd a��� SySIemS <br />Gas p pmg <br />' Watc� hcater <br />hood <br />Number cl Heads <br />PLUMBING PERMIT APPLIGATION <br />ol Praject: _Now _Addn �C Alleration _ftepafr <br />Show Numbrr (w) ol lirtures <br />fiooi dreins <br />Med�cal Gas <br />Oth?r ] <br />Other <br />b0 <br />� hereEv �caRy ihat i^ave rea� a�E nem�ned!nr, aC:'�-�'�-� anC Mv+: �^e same to �e We e�E cor�ecl Ali O�evis�ons ollaws entl mC�nancee 9ovem�ng Ih�s Iypa ol wod x+'.� he m�-��,1 M <br />w�n whefier spttmied heiern o� not. The graM:nq al a p¢rm^ Gom nai D�esume ro give nutPo�tly lo v�olale o� cancel Ine pavis:an ol anv other state or bcai iaw requlalinp consvua�cn <br />7na1 � am a�'hon:eE Cy tne o� tn�s p�oDerly �o pMo�n ine woik Im wfiKn apD����� if ma0e antl I c�mp�y vm� Inv Slale Co�tracbn Lew is 27 ftCW anE; 96 200A WnC. <br />`�w ,M��UI� ���iLw,� 7�5�?� �2 ��y <br />OwnerlAuthorizeG Agonl5lgnature Date (FC�:�sN6,�072) <br />