Laserfiche WebLink
� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vw✓w.evereriwa.org <br />� � i D-1 � <br />p <br /># <br />for new constmction: ShoA PlaVsubdivision � lot No._ (altach copy ot long legal descripfion) <br />�v0 5E E��ere� M'itiU ulay ICitYlState/Zip <br />NT:_Ormer _OwneYSAgen1 _Conlraclar _ConVacto�'SAgent �,T2nBnt(mvstprw�aoaio^erctm�sentoommooh�enaCowarkin:nespaco) <br />Adaress �� %� (� �,�.,�{''11'� �.� <br />TENANT BUSINESS NAME <br />M,��A��o� `�ce�` <br />BUILDING PERMIT APPLICA <br />Existing Use of Building ('cOW� J�Mt� <br />Proposed Use o� Building t7\ W � ' i�� <br />Building lype: _ Single Family _ Dup`le/x -_T wnhouse _ <br />Type of project: New Addition �Remodel �Repair <br />DESCRIPTION OF WORK (addmona� space provided o� the b�cre) : <br />MECHANICAL PERMIT APPLICATION <br />of Project: �New _Atldn _Alteration _Repatr <br />Show Number /pJ oI Iixfures <br />AIC — air handlina unils <br />/SUPPR <br />CONTAGTFORPERMIT <br />Geo <br />PhonelE•mail �tzs�a8o� �t7 � <br />CONTRACT PRICE OF WORK _ <br />((y�r� Gas <br />MWti•Family �Commercial <br />T.I. Sian Sorinkler Dc <br />Bus. <br />1�1� c��fe-ta�n <br />HEAT SOURCE: <br />of Use <br />PLUMBING PERMIT APPLICATION <br />ol ProJett: �New _Addn _Altcradon _Ropalr <br />Show Numbe�(q) o/lixfwes <br />Roof drains <br />Medical Gas <br />Other: <br />I hereby cemly inat I �ave reatl antl examined Uis app!iw�ion antl know I�e same to 6e Irue entl wrcecl. All pmvisions ol laws onC ortl�nances qoveming Ihia type of woh vn9 be compiictl <br />wi1t1 wnelher specifeC �crein or nal. Tne gra:lling ol a pefmit Ooes not Dresume lo give aulhordy to violale cr wnCCl t�e provision al any other slata or IOCOI law regulaling mnst(uCiion <br />i�a am auIDorixed Oy Ne mmer al lhis ptoperty lo pertonn t�e work for w�ich aDDliwlion is ma0e anC I comply wil� 1�e Stale Conlractors law 1027 RCW anU 296.POOA WAC. <br />O P <br />O nedAulhorizedAgent5lgnaWre Dafe (Revisetl3R013) <br />