Laserfiche WebLink
� • <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRlNKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICLS <br />3200 Cedar SL, Everefl, WA 98201 425-257-8810 FAX 425-�57-8857 www.evereltwa.org <br />4DDRESS� <br />0 <br />�0� �ew Con5ltuCliOn Shorl PIaVSa <br />L <br />ER7YTAXp P AI p ' �O� <br />d o3 96900006000 . ' I <br />_Lot No._ fallach capy ollong legal Cescriphon) <br />PhonelE�mal <br />Q. iJO� �'(,�'6 ICilylSlalelZip �l��Hl D14.��i � �n�� �(V �a✓� <br />_O�:ner __Owner'sA9ent �Contra:lor _Coniractor'sFgent _TenanliR�:io•o.cea,e:e�o�m.z��.ii;o-�m��w,e,ioco..w��,mc:w:< <br />RACTOR j� <br />s �-�f 00 <br />f�"(�Sf�t-�e. Ac�v�t��Ge�-Lv�sura,�u- 5vlu���� <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />Slale Lic. � <br />Bus Lic � <br />RMIT <br />Qca�� <br />PRICE OF WORK .r�S. .� � <br />Proposed Use of Bwldina I <br />Bu�ldmg type: Smgle Famiy ._ Duplez _Townhouse _ 6lulli-Famlily! � Commercial <br />T.,nn nf n.nicr� Nov� Addllinn Remndel RPOBif T.�. X SIQ❑ Sorinkle <br />DESC RIPTION OF WORK ladmtionai space provlded on tne bacw) <br />�U15�q�i �(� I��kn�tlVlui"ec� h/lA�� S���n. <br />MECHANICAL PERMIT APPLICATION <br />Typc o1 Project: _New _AOdn _Alteration _Repair <br />Show Numterlp) ol fixtures <br />– au handlino units <br />ra <br />Heal <br />Olher <br />+9�:71:1 / <br />SYSTEM <br />HEATSOURCE�. <br />� <br />PLUMBING PERMIT APPLICATION <br />of Proiect: _New _Atldn _Altoralion _Repair <br />Toilet <br />Medical Gas <br />Olher <br />x <br />I �e�e0y cenily Na� I nave ieatl anC e�am Ined Inis aop���Uon ind Mnow Ihe same lo te W a a�C conec: All provrsle�s ol �aw, anG ordinances govem��g Ihrs ;ype o� woA wdi �e mmp <br />KIIII w�C111Cf SpCO��P� �1CICR10! I1pI. rI1C 9'.101V1� O�.l pC�f. Q005110I WCSUf11Q 10 9ivC JU111W � IO vqldlC 0� 4llICCI IhP (flOV610� 0� lllY OIh2! SIdIQ OI IOCdI Idw fC(j�IdLn(J fA�SIN[Ib� <br />Thal I am avt�oi¢e� �y I�e o�w�ner ol t�i: preperty lo peAmm Ine wmk Icr wh�:h apP'�tatron rs made ana i wmply w.N me S�ate ConVaclors taw 1811 RC\9 an0 796 :00� WAG <br />�Jut-i`x— ��.(/6^'� ���?�I �y <br />OwnedAulhorizetl A � Slgnalure — e� /Remsed 420141 ( <br />� I� <br />