Laserfiche WebLink
•PERMIT APPLICATIC� <br />BUILDINGIMECHANICALIPLUMB�NGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wa+w.everettwa.org <br />//�/� —/� <br />� �"I I <br />PROPERTV TA%a PERMIT a <br />aos�s 9Z oo/�000v � �� t I-CJ 7� <br />lor new consWcbon. Shon PIaVSuDdivision Lct No._ (at�ach copy of long Iegal aescnGiion) <br />: EUF/1FTl Hdr�ivG F1�!!o/d�Y PhoreJE.ma�l J��` .S O, 9�i `� � <br />�--, � . . ,_.i—, _. _ _ i-,.r,nr�r /. itJ O, Q7lJ/_ <br />APPLICANT:�Owner _OwnefsAyent _Contraaor _ConVactofsAgenl _Tenantcm�,s�e�o�•�:o.,�oac�o��s�rn�mmoa�..�arueowninmoso�w� <br />� <br />�',�N�i'd/�� <br />BUILDING PERMIT APPLICATION <br />p <br />Phone/Ema�l � ' <br />i FOR PERMIT �iVO S/ <br />�a,� �/� S" Z 93 : <br />C7 PRICE OF WORK �G�' <br />Exisling Use of Building ✓ r' �/� � <br />Proposed Use ot Building S/�K <br />Buildmg type: _ Single Family _ Duplex _Townhouse _ Mul1i-Family _ Commercial <br />r,...., �r �.�,,.��- New Adtlilion � Remotlei nepair <br />DESCRIPTION OF W ORK (addifional space provided on tne bace): <br />MECHANICAL PERMIT <br />Typo o� ProjecC _Naw _Addn <br />Show NumDer (tl) <br />nrc _ , <br />Olher <br />SPRIN <br />air <br />TION <br />_Repair <br />HEAT <br />FiJ <br />PLUMBING PERMIT APPLICATION <br />olProfect: _Naw_Addn _Altorallon_Repalr <br />Shnw Numbefldl ollixfule5 <br />sink <br />in <br />Medical Gas <br />O�her'. <br />I �ereEy cahly ��al I navo mad anC eaamL�eE Nfs apD�����on an0 Mnow Ilio sama ID Oo hvo ana wrtacl. All pmN, ons ol Lrvs anC ord�nancos goveming �T�s ty�o of work vdl Oa comp� <br />w:n whel�er spe ' ied nemin or nol. Tho qranlin9 0/ 0 peim�l aoas no1 prv:uma lo gbe aulnonM lo vblalo or cancal Uo pmhsion ol any otner slalo ar �ct�l law rapvlating eonsbuction <br />TTaI I am aul� i• G Cy � e o++ncr oI Nis pmpeM �O pertorm I�o woh IorwNN applir�uon Is maEe an01 compN ��� ��o Slalo Conimaors law 18.3] RC W an0 298 700A WnC. <br />OwnerlA lhorized Agenl SlgnaWro � � � (Revised d2015) <br />