Laserfiche WebLink
f <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <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 4 PM <br />3 W lat PROPERTY TAX# P RMIT# <br />ADDRESS: 5-30 SW FVfY57 r ILA kll�Li 28C1�12`t002o0600 2 - —0I <br />for new construction: Short <br />OKION <br />LG <br />No._ (attach copy of long Iogoi <br />I ali)rJ .9 <br />ZZ <br />_Owner _Owner`SAgent _Contractor _ Contractor's Agent Tenant lmuu panefekn+r of ma++ntfrom tna cw*wrlo do eoAF ma w+c+l <br />0 <br />rx 5,7A z-ot-r A <br />I Lic. # <br />BUILDING PERMIT APPLICATION ICONTw <br />Existing Use of Building IZJE-f—/11 r— — <br />Proposed Use of Building <br />Building type: _Single Family _Duplex _Townhouse _ Multi -Family <br />C6C 41 <br />coR �4/Zs - N} fl <br />PRICE OF WORK <br />Commercial <br />ESCRiPTION OF WORK (additionsi space provided on the back): <br />NEW 'FD.9 MARKI%Y �'(6Q,4ljT lM�koVGM>:f�f� AMP <br />p IlU X I57i, Iq sTK 1 P li mfv- - <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New_Addn _Alteration _Repair <br />of <br />PLUMBING PERMIT APPLICATION <br />of Project: _New_Addn _Alteration _Repair <br />show Number (#) or fixtures <br />Other. <br />Gas <br />Number of Heads <br />I hereby certify that I have read and examined this application and know the same to be true and correct. As provisions of laws and ordinances governing this typo of work will be complied <br />with whether specified herein or not The granting of a penntl does not presume to tine authority to violate or cancel the provision of any other slate or local law regulating construction <br />That 1 am su� ed a owner I this p rty to perform the work for which application is made and I comply with the State Centraelar i Law 18.27 RCW and 296.200A WAC. <br />� - // -/ L (/a <br />0WPnlAulhorize0 Agent Signature <br />Dale (Revised 62012) <br />