Laserfiche WebLink
NERMIT APPLIC!4TION <br />BUiLDINGIMECHA�VICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � aQ ... � I <br />for new conslruction: Short Plat/subdivision_ Lot No._ (allach copy ol long legal description) <br />ONTRACTOR <br />BUILDING PERMIT APPLICATION <br />—C�� <br />J- Phone/E-mail <br />� City/StaIMZiP �,EVic...�rr InJ,� _ '� Zo <br />, t . L 8 I Lic. # �� �GA� U y _L V�c> <br />��� �'(,' Phane/Email %�Z�.S �j7Q -�l /Z— <br />CONTACT FOR PERM:T <br />��'-r,t�� l��N 5�y<a=- <br />PhonelE-mail =-{Z � H�� ` / <br />CONTRACT PRICE OF WORK / 7,.�i�,..� <br />�g Use of Building .5 F F� HEAT SOURCE: <br />sed Use o( Euilding �Q �'✓`—"�-- _ Gas_ Electric � Other_ <br />ng rype: � Single Family _ Du�lex _Townhouse _ M11ulti-Family _ Commercial <br />of proJect: _ New _ Addillon �Remodel _ Repair __ T.i. _ Sign _Sprinkler _Demolition_Change of Use <br />iption of'JVork (addifional spaco pmvided on fho back): <br />�� j(� (� vLiil� l �i� ��l_ 7v�Q U��� (�, �_ L'1'VVY{ i o.�-%'e1 <br />you started working without a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />ofProJoct: _New_Atldn _Altcratlon_Ropalr <br />Show Number (MJ of lixtures <br />AIC – air handlina units <br />I SUPPRESSION SYSTEM <br />NumUer ol Heads <br />PLUMBIPIG PERMIT APPLICATIOPI <br />o1ProJat: _Now_Addc _Altcratian_Ropair <br />Other <br />I hem6y certify ihal I have :=ad and ezamined this application and know the same to be truo and wrmct. All provislons ot lavrs and ordinances governing <br />Ihis type of work will be complied wilh whether specified herein or not The granting of a permit does not presume to give aulhority to violale or cancel <br />ihe provision of any other sta�e or local law regula�ing consfmction or the peAormanco of conslruclion. That I am eulhonzetl 6y the owner of this nropeAy <br />lo pertorm the9rork for which applicatioq Is mado antl I campty wilh Ihe Slale Conlractors Law iB27 RCW and 296200 WAC <br />� , /� � � � �— � `�'! / <br />Cwnor/Authorized44gent Sl9naturo Dole (Rov,sed 7'✓2070) <br />