Laserfiche WebLink
�ERMIT APPLICATIC <br />BUILDItvGIMECHANICAUPLUMBINGISIGNISPRINKLER/DE�iIIOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w,vw.everettwa.org i <br />/1J-/2 /� <br />SITE ADDRESS: <br />fd ncw ccn;truC�:an. S�.ort <br />2 ��C(icc � l70� <br />fo BnX /SSl ; <br />RTY TAX p <br />Oo/00o0C� I«�I IU I I� <br />No._ (a:.aUi d,r� o} brg tegai Cesoiption) <br />yz.�z.s�� yzz z <br />Fc�-,��rr. ��� P�zo� <br />4PPIJCANT:,�Owner Q�nef6AeM� _COrY�aCv _Cor:traCorSAgCM. _Tenant;-,.:c�.�....,v.n�sen>,:,,o.�.em.a.ne,., <br />�ONTRACTOR NOGr7 Sta�O lJc. x �(y�'C �S Ib 1 Z Ci BuS. Lic. # <br />�dar�s vnonc/F.matl <br />TENANT BUSINESS NAME CONTACT FOR PERMIT ,qND y�/F[TNF <br />V�I7/v!/ ✓ /�!/�/ PMrpJE�+na:l L- � Z �7 tl �� _ ��i� / <br />BUILDING PERMIT APRLICATION CQNTRACT PRICE OF WORK �U�iD.. � <br />Existing Use of Bmlc��g � r,� H�ar <br />Prcpcsetl U5C ol Bwldinp ✓�/�i� � ;as Eb <br />9ui'dingtypo� _SingleFamiy _Dupiex_TowM,ouse _Mul6•Famiy _Commercial <br />Type of prc�ed�. New Additicn � Remotlel Repa!r T.I. Sian SDnnkler Demolitit <br />DESCRIPTION OF WORK (addmony spe�o yov.bed on uo bn��: <br />�rr�l �i �, �t�'�l1(.� - �ti�d.e �1��� <br />,� ��� <br />MECHANICAL PERMIT APPLICATION PLUMBING ERMIT <br />Typo ol Pro�oct: _New _AdAn <br />-a <br />RIkKLER / SUPPRESS <br />NumDer o! ncads <br />o( <br />_Repalr I ITypoMPro�etl: _Nw.•_Addn _AIWreUon_Repelr <br />Show Number /a! ol flrfuraf <br />Medical Gas <br />O�nr <br />i ncrnty cn2Yy Nal I �ava reaa onC emm! ie0 n'n aDpfimibn ona Ynow p�e eame ta De true and ortecL AG C��sb� ���+t ana aitlman�nf povanhg C+b rype al wr�t w9 �a mmp <br />..^n wTnmm epoo'eC nantr� n naL Tho ernn��+g of a penrl mee ne1 D�n:ma to gNe aNnortly ro vblato or rnncel t�o prov'm^ al t�Y �m atato w b21 LTw �utaOnp conntruCbn <br />iT�llnnnuYin EEyVie adCibDr•-,oRylDpeAotmNaw�rtlarr.�hl�appSraC'en6ma]oe�Clmn�YrATtne5lahGx�^srl.^reLor10.i7RCWN029GYCMWPC. <br />�S /� <br />OwncriAuthorixod Agant SlgnetuR Dato j.RBr;ed a2G!5) <br />