Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �vww.evere� �rg' 3 <br />ADDRESS: PROPERTYTAXN PERMITt 'o <br />/20� �r Si. FJe if 98:�01 <br />(or new construclion: Short <br />; �Jeretf" �ou5 <br />_ Owner _ Owners Agenl <br />��r,re-H' i�ouS+r9 � <br />No._ (attech copy ot long legal descriplion) <br />SG�iC� <br />9�ao r <br />Conlractor ContraclorsAgent TenaN(mm�pmraeaianmoiwnsemrcommeow�ror�aaowoM�nmaspa<e� <br />n � �,- ,.._._�:_ y dl n,.InC iLii w� CitvBus.Lic.# %�„�ny <br />ILDING PERMIT APPLICATIC�N <br />PhonelEmail �{ai5 •:S/J3— <br />-... _..._. <br />�ri� uynarJ <br />u���_ �„z— ii. <br />PRICE OF WORK � gc�/'� �0� ench <br />Existing Use of Building ��� �« ~��.w v��112�. -- � HEAT SOURce: <br />�y! m G Q$ t Gas Elecinc Other_ <br />Proposed Use of Building � <br />Building type: _ Single Family _ Duplex __Townhuuse ✓ Multi-Family _ Commercial <br />Type of projecl: ✓ New _ Addition _.__ Remodei __ Repair._ T.i. ,_ Si3n _Sprinkler _Demolition_Change o( Use _ <br />DESCRIPTIONOFWORK(add�tionalspaceprovidedorfheback):QBf;PfOje��"#�O1°j—OI Re•may�- eus�o�e� <br />eKlsling-+ de�ecti�e �as �urnace �.1ns}all neW�ns -iurnace (cus�o»ur 5:�p�l;ed) <br />xrclusive of 1he -Fcl�owih5 adap�}a'tien5: �e�lurnciir Plenum�gas P�}'%n9�,9as �I'"e, <br />►;n� Vcli-aqe Icw J'oltaqe , 51�r1� �ffrs� ner/• <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of ProJoct: ✓New_Addn _Altaration _ Repair <br />ofProJoct: _New_Addn _Alteratlon_ Repair <br />Show Number (R) ol /ixtures <br />Other: <br />Gas <br />Number of Heads ' <br />I hereby certdy that I hava read antl examined this application and know t�e same lo be true end correq. All provisions al laws and orEinances govemin9 �his type af work will he comp�ied <br />witb whet�er specife7 herein or not T�e 9ranting ol a permit doe.; not presume to give authortty to violate or cancel the provision ol any other stata or local law regu�ating conelruqion <br />Thal I am awharizetl bp ihe owner ol l�is property to parlortn Ihe Hork for w�ich+ipplication Is mada entl I comply with l�e Slate Contractors Law 1827 RCW antl 2%200A WAC. <br />. S='{-���� c���� �/5�j3 <br />OwnerlAuttwrized Agonl Slgnature �ale <br />(Revisad 32013) <br />