Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATlONS ARE ACCEPTED PROM 8 AM TO 4 PM ��`- � 7'�� Z <br />ADDRESS: PROPERTYTAXN MIi# _OO� <br />n-i �F T:�/rnr�.w- inn_�_� � 1_)14V ��,�-[ 3�J 2ii✓�� �✓V�{ul�L''J <br />(or ne�v consfmclion: Shod PlaVsubdivision Lot No._ (allach copy of long legal description) <br />UO VJ��I IGiM1 i�"hHN <br />� Owner Owner's Agenl <br />�:� � <br />IZ <br />Contractor CoNractor'sAgent _Tenanl�musiP�o��doai�n�roico�:�mrtommao-.mermaow��k�nmasP�ce� <br />1„�El" SL'�4L_ <br />BUILDING PERMIT AFPLICATION <br />Use of Building <br />& I Lic. # I''It �'�Y�'ll ltr> L`Ivl <br />PhonelEmail �27)�'`�i <br />ONTACT FQR PERMIT <br />�i cuA�- ATwwD <br />ione/[-mai�zs)S�3-��zzvz�Z�S n�AT <br />ONTRACT PRICE OF WORK ) U <br />HEAT <br />Proposed Use of Building � Gas_ <br />Building lype: _ Single Family _ Duplex _Townhouse _ Mulli-Family � Commercial <br />Type of projecl: New _ Addilion _ Remodel _ Repair �, T.I. _ Sign _Sprinkler _Demoliti <br />DESCRIPTION OF WORK (additional space provided on fhe baclq: <br />i�u�rr��� (�.� Ex��n�.�� F�-Ny F D�n:,� �� h� (�L.�.�^nii�i�� (vfi, 7.T-. <br />' , C Yti0 IZ�LI 5 � <br />MECHANICAL PERMI f APPLICATIOts <br />TypoofProJect: _New_Addn _Alteratian_Repalr <br />� <br />o( Heads <br />ION <br />Bus. Lic. # <br />iYu <br />of Use <br />PLUMBING PERMIT APPLICATION <br />of ProJucl: _New _Addn _Alteration _Repair <br />ShowNambcrlNl o//ix(ures <br />Olher: <br />Other: <br />Gas <br />I hereby cetlify that I have reatl and examined Ihis appliwlion and knowlhe same to 6e �rue and mrrect. All provisions of laws antl ordinances governin9 ihis lype ot work vnll be complied <br />vrilh whelher sped0ed herein ot not. 7he granling of a permit tlocs not presume l0 9ivo authonty to violate or canwl Iho pmvision of any other slale or lowl law re9ulating conslrudion <br />7hat I am authorized by Ihe ovmer of this pmpeRy to pedorm the worklor which appliwlion is made and I complywllh Ihe State Conlraclors Law 18.27 RCW and 296200A WAC. <br />����� \ y <br />. ��_ � 1� ��GbIZ <br />OwnedAuthorized Agent Sic�na W ro' � Date (Revised 6/2012J <br />