Laserfiche WebLink
1 LI\It/11 !ll t V�v� ��v�• <br />BUILDINGIMECI-�11CALIPLUMBING/SIGNIS�NKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SER S <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �wrvv.everettwa.org <br />� —�G—I <br />EADDRESS: )��� �' � � 7ROPERT'TAXM � PERMITp <br />� o-J nns/S 92 Oo/ OVOv IM ��h'1—�� I <br />fot new constructlon: Short PlaVsubdivlsion � Lol No:_ (atlarh wpy of long legal doscdplion) <br />�U�/1Ell f/odr/N6 <br />�0 6oX /S"�7 <br />.s�7��Y.' 9ZZZ <br />w� 9�Z% <br />Owner _UmefsAgent _Coniractor _ConVactofshy^nt _Tenanitm���o�woaiacmoi�,em�rtwnu,00�norioaowon�,u,o <br />�'.�A/�/�li/�Gr% <br />UILDING PEI'itMIT APPLICATION <br />uc. u /{'d�1 �iCs(1-C. �91p 1 <br />�� <br />PRICE OF WORK <br />Existing Uso of Building J f K _ � <br />Pwposed Usc of Building s/C/� ' <br />Building type: _ Sinqle Family _ Dup�l/ex _Townhouse _ Mulll-Family ^ Commercial <br />Type of projech _., New AddiUon q Remodel Repalr T.I. Siqn Sprinkle <br />DESCRIPTIQ`� )F YVORK (addi6ona� speca provlded on �ha bacr): <br />�'�o (G� �� �i�t,�''V�OIC�./ <br />MECHANICAL PERMIT APPLICATION <br />Typo of ProJotk _Now_Addn /� Altoratlon _Ropair <br />Show Numbarlp) o/ flaturas <br />C Ciry �us. lic. # <br />y yFc T�� <br />�s6�.� - T� <br />�o o. o� <br />PLUMBING PERMIT APPlICATI�iN <br />ol ProJecL' _Naw _Addn _Allorallon _Ropalr <br />Medical <br />Olhcr. <br />Olhor <br />I nnmEy mNfy t�at I havo matl ond o�nminoe Inlf appAcilbn nnd know Uo cnmo lo Eo Wo onC cortnU. M proNslon9 0l lsvs and or,.nancaa govum'sg Nla rypo olwoA wi`I bo w� <br />w•'JI wh0111Cf L(�ofiilld �plpl0 Of Ilol, T�10 Qf]OI�IIO p� 0 OOflllll tlDOR 1101 pN6V m0 lo ��l0 BUIIID�1`� IO VIOId10 Of UlIUII lh0 [IfOVIf)OII 01 p0Y O��Bf LIdIB Of IOGII IdW 100U��OQ GOOL�NGtl <br />TTat I nm q I� odi �y I�o ownor of mL� pmpotly lo portam ��o wod forw�kli app5oipon l� mado nnd I camp�y vAih I�o Sla�n ConlmUom Law IB27 RLW and 20B.200A WAC. <br />Qwnor /uthorizod A9ent Sipnaluro � � / � Dalo . (Rovi;od d2015) <br />