Laserfiche WebLink
PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBIMG/SIGN/SPRINKLEiR/DEMOLITION <br />CITY OF EVEREIT PERMIT SERVICES <br />3200 Cedar St., Everett, W A 98201 - 425-257-3610 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /— oZ 3� I <br />PROPERTYTA%# P RN <br />ADDRESS: 1 � � h fl �- C_7'� � <br />i ti Iti <_ `t Gvc ��k �'�.(� �,�. <br />for new mnslruction: Short <br />;'e[v1��4ir �QWw'C''4S\ <br />`6 i UO �/vv �' c�w-c..� <br />Dfl ►^ �- 124�ti S'� <br />SU:�G jOC.,I <br />.i�VC-I�N���l.���c`i� ��' <br />BUILDING P�RMIT APPLICATION <br />Lo: No._ (atlach copy of icng legal descriplion) <br />ie/E-m�il �U �'z`-� •� �`'� 1� L C�- I 1�: I <br />�tatelZip v fiJ!'�t- �4'-� t-�� <br />� uc. i? c— i. 4��.(�- <br />: �S'tj�� Phone/Email �{2.`�' OZ�'! �L <br />�TACT R PERMIT <br />�G..n.. �lY'pLS•�..ww5 <br />ielE-ma'I (.�Z.i OZ7 y z�� — <br />VTRACT PRICE OF WORK -t rI"L%W <br />- � , ,��i � nr�+i av�.,,. ,.:� __..—. <br />Ezisling Use ot Building <br />Proposed Use oi Building �� �"��-' Gas Electric__.�_Tner� <br />Building type: Single Family _ Duplex _Townhouse _ Multi-Family _ �^mmercial <br />Type of projecL _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Spn�kler _Demoli5on_Change oi Use <br />DeSenption of Work (atlddiona! space p�ovided on the backJ: <br />you started working without a pertnit7 _YES _NO <br />MECHANIC.AL PERMIT APPLICATIUN <br />ot ProjacC _New _Addn _Alteratlon _Repair <br />Water <br />of Heads <br />PLIlMBING L'kRMIT APPLICATION <br />ofProject __New_Addn _Alle2tion_Repalr <br />Water <br />A�edical Gas <br />O'F.. <br />. I hereby c ify that I have read and e:amin=_d lnis application and know the same to be tme antl coru. :..� pn;vis�ors ol lens and ordinances governing <br />, lhis�ty ol rk v.ill be complied wi�h whether spe�fed herein or not The grantino ot a permit does not presume to give aulhonty lo violate a cancel <br />the r visio of any olher stale or local law �eguia�ng cron.trdction or lhe pedormance of co�strucliort That I am a��t�oczed 6y ihe oNoe� of tn:s pmperty <br />to p� ortn C work (or which app��catlon is made and I comply with ihe State Contraclors Law'1627 RCW and 29c.2D� N'AC <br />`"" � � ; _ I L� i � <br />i� � -- (Revised7120'1) <br />Owncr/Au� orizedAocntSignature �`�« <br />