Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRIfdKLER/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 />APPLiCATIONS ARE ACCEPTED FROM 8 AM TO M1 PM J�. J7 ���j <br />o�`J�� �V.cYe� <br />L lor new cansWclion: Strort PlaUwbdivisio�� <br />_ Owner <br />TAJ( q <br />No._ (attach ::opy ol lorg legal desui0�ion) <br />PhonGE�m;,ii ��-{ <br />CirylStatrJZip � <br />Agent _ConUaclor _ConlractorsAgenl _Tenant���sivov�aoam¢�roi�umm�m�mu,sow�eriaaowninao�ml <br />L&ILic.# <br />Q.enc.�r <br />BUILDING PERMIT APPLICATION <br />Use af Building <br />d Use af Buildir <br />type: _ Single Family _ Duplex _Townhouse _ Mulli•Family <br />�roiect: New Addilion ��f2emodcl Reoair T.I. <br />ESCRIPTION OF WORK (addifionai;naceprovrded on rhe back): <br />r �11� �: a,� �r�. �-E- � Y� � l� <br />MECHAMICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteralion _Repair <br />Show Number !pl o! fi+fures <br />A/C — air handling uni�s <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangc hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />� <br />PRICE OF WORK <br />Lic. # <br />.�. go�.... <br />,��e vc ✓- e YYl <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Grease <br />Medical Gas <br />Olher <br />Other. <br />I hereUy ceNry that I nave �eatl ane eaaminee Nr appfi�ilion ann know Ine same lo Ge we ana conep. NI provisions ol law; antl mdinances po•�ern�ng lliis ��pe ol wo�k wi9 Ue rnmplieU <br />will� vNether spetiGed herein or noL �Oe 9ranlulg ol a pl'Imil tloes nol pmwme lo give dulllonty lo voldlc or e+nCet I�e provition ol a9y olher slale ar bLll pw reguN�ng mnslniGion <br />Ti' am aulhon[etl Uy IAe owner ol Ihis pwpetly to pedonn Rw work lor vrtilrJi apP��'+�bn ¢ ma0e anJ I mmph �'^� �ne Slaie ConlrTtlors I.aw 18 27 Rf,V� antl 79G 200A WAC. <br />" � O • l `j ' � <br />O rlAut orized A9ent Signalure Date (Rr.visetl C,?017) <br />Yz <br />