Laserfiche WebLink
P <br />� <br />PERMIT A@PL�CATION <br />�UIL�INGIMECHANICAL/PLUMBING/SIGN/SPRINKL�ER/DEMIOLITIUN <br />CITY OF EVERETT PERMIT SERVICES la- `� �`« <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.e�r� %%� � �/ ' <br />APPLICATIONS ARE ACCEPTED FROM 8 AAIi TO 4 PM �/ <br />r [�\ <br />for new conswdion: ShoA <br />i �T� rn V"lo��ES <br />2l 108 "l1'� P� `'� �' lo <br />ACTOR �=1� [�u�U'�•\ Ci��a('..c�l�°J' IL&ILic.; <br />1o�ii`l 1�uS�.SE S1�C� �.�JK�MS ��,�ti> �ld'i�fr <br />BUILDING PERMIT APPLICATIUN <br />TA% a <br />tVUI l00 -rju <br />��� <br />No._ (atiach copy of long legal tlescnption) <br />;, vti� - 8 6 t-`� bb4� <br />w{1 `1Ko <br />rn �:'t�-if ��u���•,. <br />fi�h u 1�, 3e 1_ +„i J� <br />Phone/Email�rdl }�1�..�..—..ic�+lr <br />' ���"�".ri� tiL5 -�-+��-3�i3g --. . <br />'L�t��C � \C�E.�ci c.I L'JiI�YH�'�.`��G� , l GM <br />PRICEO�WORK /�GaG "�• <br />Exisling Use of Building ��''f �� � HEAT SOURCE: <br />Proposed Use of Building �� b` C�� Gas Eledric_ Q:her <br />Building tyoe: _ Singl.. �amily _ Duplex Townhouse _ Multi•Family _, Commercial <br />Type of projed: _ New _Addition ,�Remodel _ Repair _T.I. _Sign _Sprinkler�Dcmolition_Change of Use <br />Desaiption nf �nr�.e �-a.+;r.,,,,i mAca previded on fbe back): <br />�v i2�..��. �Fs,��� G�.�,� �- l�ti.IJ ,��.,� sr-�� �� s.-�` <br />�:,,- ,�-•� r .�� IL x a s� <br />Have you staRed working without a pertnit9 _YES _NO L <br />MECHAI�ICAL PERMIT APPLICATION <br />o(Pro�ecl: _New_Addn _Altnretlon_,RepAlr <br />Other <br />of Heads <br />PLUMBIIiG PERMIT APPLICATION <br />o1ProJact: _New_Add� _Atterotion_Rapair <br />Medical Gas <br />Other: <br />Other: <br />I hereby ce�ity thal I have read and examined Ihis applicalion and know Ihe same to be liue antl correcl. All provisions ol tavrs and orainances govem�ng <br />this type of work will be complied with whe�her spedfied herein or nol. The Qranling of a permit dces not presume to give aul�onry to violate or cancel <br />the provision of any olher slate or local �aw regulating construction or the peAormance o( conslrudion. Thal I am authorized by ihe ovmer ol lhis property <br />to peAorm the rk forwhi i applicalion is made and I complywilh Ihe Slate Contradors Law 1827 RCW and 296.200 WAC <br />adAuthodza� AgentSlgnature Date (Revised22077) <br />I/Z <br />