Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT 5ERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everet �a.org ` <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM J`�- �7 �' <br />Soo�. Fc�k�pl A�e SE <br />newconstmction: ShoM <br />1�i���r.n. �' I�ONM <br />SV� l 0� iFic <br />L <br />�N 3�57 zYeZya <br />Lol No._ (altach copy ol <br />E-mail l�l tS � ;� "2 ]�l <br />�te2io �JNc � �A/t�. <br />ig legal tlescriplion) <br />Wetrtb�� G.ce <br />a� � <br />�Owner _OwnefsAgent _Contractor _,Contractor'sAgent _Tenant(musiprovaeaknermco�vemrtommsv«�x�oao•onmmesp+cel <br />N <br />BUILDING PERMIT APPLICATION <br />Use of Building <br /># <br />COE <br />(�its)3�b-zz6�/ w��rl6�k <br />PRICE OF WORK <br />d Use of Building � <br />�ype: �SingleFamily _Duplez_Townhouse _Multi-Family _Commercial <br />_._ .. .i_... eaw�.r.... X� oe..,,.doi Renair T.I. Siqn Sprinkle <br />DESCRIPTION OF WORK �addirional space provided on the back) : r <br />��a��, � B�dr��,. �� .� u�4,�:s�.Y� �.k�KT- <br />PE RMIT APPLICATION <br />otProJect: _New_Atldn _Alterelion_Repair <br />Shaw NumberlN) of flxfure; <br />PLUMBING PERMIT <br />ot Use <br />of ProJecl: _New_Addn _Alteratlon_Repair <br />Other: <br />{o•K <br />Number of Heads � V11O1. <br />1 hereby cenrty Nat I hovo read an0 eaaminea Inis applicniron anC know �he some lo �o Wo entl cortect. All pmvisions ollavn antl orCinance9 goveminp thia rype o1woA xiA be wmplieC <br />ri�li whelher specifed �erein or noL T�o aranting o/ a pertnil Eom noi presume lo give ou'.honry lo vioWte orcnnttl Ihe pmvision of any other slate orlocal law repulstinp consbuction <br />��al I nm ouiho ized Cy Iha ovmer ol Ihis opeity lo petlorm Iho work lo�which npPlicoiion 0 maCo anC I compNwSh Itle Stete ConVacton Lav 1827 RCW end 298200A WAC. <br />V ` <br />�,,, `�l� � �3 � �Z <br />Owner/Authorized Ag nt S nalure Da�e (Revisetl 6/2072J <br />