Laserfiche WebLink
� <br />� <br />PERMIT APPLICATIOf� <br />BUILDI;�G/MECHANICAL/PLUMBING/SIGN/SPRINKLER/nEMOLiTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 425-257•8810 FAX 425-257-8857 wtvw.everettwa.org <br />AD�RESS: .�.jLS £�� 9 L�'J ��, w A� <br />loinewcon5lnxlion: Shor1 <br />TA% # <br />No._ (atleChcoDyollotglegaltlostdDlion) <br />QE 6NLy �6e1'T'F1yc PhonelE-mail D3 Vo'b• (.D <br />S'33S ,Sh, iV�EA�Ur:i S"iE 2qi Gryrstaie�ziv I.�ICE �Sb:EE�D � U� g�D3� <br />NT;_O.�ner _Ownor'sAgenl �Y Contraclor _Conlmc�olsAgent _Tenamtm���ncnade�o:o�oira�s�+io-ommeo.,,mrioao,.�orvm <br />:TOR ,.loTiU41EiT F <br />'y/ S S. �g�'/zl J i . <br />3 SINESS AME <br />x Ff r� i T`! <br />���.a rJLa7NFSyZP(2 <br />� <br />-'1S o-i <br />f.�J <br />BUILDING PERMIT APPLICATIO�J CONTRACT PRICE OF WORK ��P, oo� <br />Exlsling Use o( Building ���^�M'E�C-� �L �Z£'T A� L� HEAT SOURCE: <br />�roposed Use of Buitding 4iM^tiL �, �o C ta-A�(� 6) Ga; Eleclric Oihor <br />3uliding tyDo: _ Single Family _ Duploz _Townhouse Multl•Fanlly � Commerclal <br />fype of prolect: New Adtlilion Remodol Repair � T.I. Slqn Spdnkler Demolillon Chnnqe of Use <br />DESCRIPTIONOFWORK/edmnone�spacoprovidodonmoback): �Fwhl DE���w D�J <br />�1�STh �.+-aT1�,1 oF o�J E ..l f w � C D h �k <br />—rJ.j � F12� QD21'+ IL L St Li � 6• <br />�� <br />PERMIT APPLICATION <br />of ProJact: _Naw_Addn _Almratlon _Repalr <br />healar <br />I SUPI <br />Number <br />CATION <br />ofProJect: rftow_Addn _Alloratlon_Repolr <br />Show Numbor (p) u1 fixturas <br />Medical Gas <br />i �ncoy ce.Myi��ai i nam reaG arW cwmbcd ihis apqkaiun an0 imowtho wmo lo 0o truo ena canep. a� pmrkbns ol I�w; ano oraMancc, Bovernlrg tn5 rype ul work.� Oe wmy <br />wJ� wtptlrot sDeclfeE ly�reb a nG. Th0 grdnll-g ol a oermll0oai mt Dmsumo Io 6�+e aNnMty lo vblo!o or t3rcsl Na vrovslon ol ony 4Mer slMe o� iaol Nw regulalln8 ����+tlbn <br />Thal I um aut�aRcO Oy I�e awna a11�5 propetty Io portorm I�o wo�k lof wtik�� apqkalbn h m�Jo oM t comph �'�ih I�e SWto Conlreclors Lew 1827 RCW OnC 286.200A IYRC. <br />��� � �/2���� <br />OwnerfAulhorize� Agent Slgnaturo Dale �/� (ReNsW 9/10/d) <br />zo�- Z �- � 2z�Z <br />