Laserfiche WebLink
PERMIT APPLICATION <br />BUILDINGIMECHAniICAL/PLUMBINGISIGNISPRiNF�LERIDEMOLiTI�N <br />CIN OF EVERC-TT PERMIT SERVICES <br />3200 Ceda: St., Everett. WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everet-t7�v:3.or <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /`- "� Z <br />�I <br />t���t�iCi i UZ/ <br />Iornewconsiruction:ShotlPlai/subdrvisioq_____ _.. _..._ _-_._..._LotNo.____ (altachcopyoflonglega!description) <br />u <br />I' �'�-� C!L 1 <br />BUILDING PERM17 <br />d t✓L, i,f r�; S r. <br />PhonelF-mail <br />I Lic. 9 <br />G L�l'1' `. <br />- i'�il'. <br />�C.--,.�',�,j •��. <br />CONTAC� FOR PERmII ' � �•�+ l.�' �� �� <br />� �"�I'� l��l' \c��-��\ <br />{,_ (�� � ) Phone/E-mail � " � J, . . <br />�Ll ATION CONTRACT PRICE OF WORK ___I j�_'�1Y�__ —__----- <br />HEATSOURCE: <br />Existing Use of Building ------___---....__.- .— _------------- <br />Pro csed Use o� Buildin ____ __ ____ __ Gas . Eiectric Other. . <br />P9-------_..---------- <br />6uilding type: ___ Single Family ___ Duplex __ Townhouse __ M1lulti-Family ,�_ Commercial <br />Type of projecC ___ New __ Addilion ___ Remodel ___ Repair ___ T.I. _J_LSlgn __ Sprinkler .__Demolition__ .Chanc�e of Use <br />Descriplion of Work (adddional spaco provided on the Gack): -, <br />'- ` !C EY <br />� , <br />I,�t��17'-�i' =�= ����(A-t'�: ;��2-�-� i� j i1u�:�� (�, �; rl;.�� . <br />� <br />you s�arted wor:'ing wilhout a permit7 ____YES ____NO <br />MECHAkICAL PERMIT APPLICATION <br />of Pro�ecC . . New . _Addn Allcration __Ropalr <br />Show Numbcr (!t) ol /ixtures <br />A�C - air handling units <br />i Forced air svslems <br />heatr.r <br />Other <br />I SUPPRESSION <br />PLUMBING PERMIT APPLICATION <br />ol P�ojuct: .. New . . . Addn . . Alteralion . . Repair <br />Slraw Numbc� (a) o/lixtures <br />drain <br />Medical Gas <br />Other <br />� Nuniber of Hcr� s � � vu�e�. _ _ <br />i hereby certity thal I have read antl eaammed Ihis appl¢ation antl know ihe same io bc tme antl conect. All provlsions of laws and �-dmances govem�.nn <br />r�,s lype o� a�ork w�ll be complietl with wfiether specified herein or not The graNing o� a pefmil Aoes noi pre5um.i t0 aive authori�y t0 violale or Gancel <br />ihr piQvision ot any other state or loral law regulating constmction or fhe pedormance ol construction. Thal I am authonzed by the owner of Ihis propeny <br />io peAprm Ihe v.ork lo� which appi�caliun is made and I comply with the State Comraaors Law 1827 RCW and 296200 WAC <br />- , � - �rl ���.�1- �, `�� <br />OwncY�Au i rizedA entSlgnaturc Da�te - ireriseJ2�2b�r� <br />�` / <br />