2131 HOYT AVE 2018-01-02 MF Import

PERMIT APPLICATION BUILDING/MECHANICAL/PL.UMBING/SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES noon l -A-, c, r_„ono„ WL oR,)ni - 495-757-8810 - FAX 425-257-8857-www,everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (7 — I O I PROPERTY TAX # PPER'M' ITS• SITE ADDRESS:r 0�4A9f—61 --oo LEGAL for new construction ShortPlailsubdwision___ Lot No _ (attach copy of long legal description) I OWNER' Glip ��. G�r�l.5 se,n PhanelE-mail Z.5_/�2. 18 /r�ZZ Z.D �� fa N -" Cily/StatelZip �V tYG r ( LJ* 9 Address _ Vf� CONTRACTOR f9 to n3 cC L & I Lic. # BUILDING PERMIT APPLICATION (CONTRACT PRICE OF WORK Existing Use of Building _ - -- -- - Proposed Use of Building UF4=19C Gas yr Electric ✓. other_ Building type: _ Single Family z Duplex Townhouse _ fillulli-Family _ Commercial Type of project: New _Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use Description cf Work (additional space provided on the back): you started working without a permit? _YES y NO MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _Now_Addn _Alteration _Repair I (Typo of Project: _Now _Addn _Alteration _Repalr I Show Number (#) or flxfures JI a". . --- Other__--- ther___ I Medical Gas SPRINiILER 1 SUPPRESSION SYSTEM Ij- Other. Number of Heads II Other I I hereby certify that I have read and examined this application and know the same to be free and conect. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or net. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of const,uction. That I am authorized by the owner of this property to perform the work for whi h applical' n is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC /, , C)�)s Owner/Authorized Agent Signature �le (Revised 2l101