Laserfiche WebLink
PERMIT APPLICA�'101� <br />BUILDINGIMECHANI(;ALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIDNS ARE ACCCPTED FROM 8 AM TO 4 PM %� a 7—� Z <br />PROPERN TAX N PC-RMS,# <br />SITE ADDRESS: �� Z� FJ'�Yq ��Q�,,, W M,�, 1�,�.��-" � <br />LEGAL (or new conslmction: ShoA PlaUsu6division LoI No._ (altach copy of long legal descriplion) <br />�,�,U-s PhonelE-mail J�3 6�� ���� <br />OWNER �` <br />nee,�s5 S3'�> S� mr�-pu,vs R-4 '��5 Ci�yl5latNZip � ds ' dr �� q703S <br />Ovmer _O�vnersAgent <br />'7�i � a2v s- s�� �1 <br />COnV�ctof _Conl�at�0i5AgBnl _TenaNlmusipm�aouiet:oro�consenurcmmow+r.ermaonca�nUaspace� <br />q �✓ L&ILic.# �-��F�'������ COEBus.Lic.# ���rIO <br />���� j`(/t-1✓�(�L IAA n�0U3Phone/EmailK�S 7717�3q in�2U�Vft'��E[% �"?'�'"n <br />C��PY'h' 2Z�I.UC� F�t�C55 EVoLvtlo� �� <br />BUILDING PERMIT APPLICATION <br />wFu":rc <br />, .30� 4�3- u4b$ <br />i PRICE OF WORK 9E JO� 00 � <br />HEAT SOURCE: <br />Exisling Use of Building � <br />Gas Electna Other_ <br />Propaseu Use o( Building <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-F mily _ Commercial <br />Type of projecC New _ Addition _ Remodel _ Repair �_ Sign _Sprinkler _Demolition_Chanae o( Use <br />DESCRIPTIONOFWORK(additionaispacoprovidedontneback):1so��l� G�MC�°� �� TT�'"` �M"$ f'� �`'' ���Sr� <br />�'r S�•h ILsc Fv Ianrv�n,��.�fcr� �,�i¢i,� di,..�,h�cr(Z or� �il�-q� �YLt-10� �f�.�� 2� �'ilA-3, (�'�'�. <br />I h i� <br />(�f- )uFp �J�IC( f�7'�l'�'` '�y°'� ��1MI C.h.r'C�IO �,�n1.m.R- <br />�'�Q.�Ofs�.�2 CJ�n�J1�Sf+im G,,.r t�V� � <br />MECHANICAL PERMI� APPLICATION <br />ofProJoct: _Now_Addn �Altoratlon_Ropa�r <br />Show Numbcr (N) o/lizfurcs <br />i nir. _ air handlina units <br />PLUMBING PERMIT APPLICATION <br />oiProJect: _New_Addn _Altoratlon_Ropair <br />5how Num6erlN) o/lixtures <br />Other. <br />Gas <br />� Number of Heatls ' - — <br />I hereby cerLty that I have.�ea d examined �his appfcalion and know�he sama to 6a Iruo and mrrecL All pmvisions of laa�s and ordi�ianws goveming thls type ol wo:'r vnll be comp6ed <br />:.,tn v:ne�her specKcO herein or nol 7he grantmg of a permit aom not presumo to gNe aulnoriry to v�ola�e or wncel lhe provismn ol any other stata or lowl la�.v regulaG+g wnstn¢lion <br />Trat I am aut�orizetl hy tho orrner 1 tnis propedy to petlortn I�o v:oB for ���ich appliwtion b maeo antl I comply wnh Ihe Stale Contra<lors �mv 1827 RCW antl 2?6200A Y:AC. <br />// � � -- -7� �/( / <br />V Date fRevia.d 6R012) <br />OwncrlAuthorized Agent Signaturo <br />