Laserfiche WebLink
PERMIT APPl.ICATION <br />BllILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www•evereriwa.crg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �`a-�.=� e <br />PROPERTY 7AX N PJERM�T�n � r hC <br />_ !��- �tti <br />for new conslruclion: Shorl Plallsubdivision_ <br />t ` I%%�l-/% ��Y25i�11G �%CLT/�G <br />�/�% CC�I��✓. J� <br />�pN'C __ Ov:ner Owner's Agenl onh <br />���.... � � <br />p.r,?or•,:',.,�i_Z ��:y1iG,�;2/�uv. <br />'�ll�Co ��/%1� iYy� h��.� � ��s / <br />T BUSINESS NAME <br />DIWG PERMIT APPLICATION <br />Lot No._ (attach copy ol lo� a� des�riptlon) <br />PhonelE-mail / <br />CitylStale/ZiP �/�j�j</� L[�^t' YO �` <br />COn�faclofSAgenl ,_Te118n1(muslpmrtlealarerolwnsenllranNeonnerlaauwakinlnespace� <br />, y�, L 81 Lic. # .�%/..�%llR.s � ' COE Bus. Lic. # <br />,/ � O tNUfc.Qa <br />� PhonelEmail yL�'.�Q�'� � � <br />CONTACT FOR PERMIT �ryyJ*/j-y � /-rPi�� <br />// _'/�'/ o�u� y��c Uuqe <br />PhonelE-mail Yl5 '7`JY�`Y <br />CONTRACT PRICE OF WORK �QGL'� L2� <br />� �, � �������, HEAT SOURGE: <br />�.isling Uee of Building S�L � �� � ���V —=— <br />i� L( � 1 Gas� Eleclric Other_ <br />oposed Use of Building <br />iilding type: _ Single Family � Duplex _,Townhouse _ Multi-Family _ Commercial <br />�pe of project: New _ Add�tion __ Remodel _ FePair _, T.I. _ Sign _Sprink�er _Demolition_Change of Use <br />iSeii�vc� $ �j/`��.�'% % Xi3i�:vG G/}S <br />ESCRIPTIONOFWORK(additionalspaceprovidedonlhebackJ: �� ��i ���1e¢ <br />� ;'rRN� ce,��r�/ CtcS�nif �l .�c�lli0l/� �:eG��i}�� � i�����,"r� . . <br />�,�5. ��� .,7•����r� <br />lC�c> tJ��/�?G� �/.���� � <br />MECHANICAL PERMIT APPLICATION <br />ofPrc�ect: _Naw_Addm_Alteratfon_Repalr <br />Show Num6er(#) of lixtures <br />— i nir. _ alr handlina units __ <br />PLUMBING PERMIT <br />ofProJecl: _Now_Addn _Alleratiun_Repair <br />Olher. <br />Gas <br />� � Number of Heatls <br />I hereby ceddy that I havo read and examined this applicatian and know the same lo he Ime and mrrect. All provisions ol laws and sdinanres governing this type olworkwill ba mmp:icd <br />TAa� I am author iede0y �he lowneraol lhhs pmpedy lo pedonn Ihe work lor whicleapplicatlon L made alnd'I camply wlhh�he S�ate Can,r�atlors LaH,Id27IRClV anC 256200A WqC.C"on <br />j � <br />�'� ic....:...w ann�m <br />�/ 'y`i�- � �� �� ��- zs�iJ -- <br />� rr;�c t,�/ /L 2Ca � — <br />