Laserfiche WebLink
� � <br />PERMIT APPLICATION <br />B{JILDINGlMECHAfVICAUPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CtTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-881 D FAX 425•257-8857 www.everettwa.org ,� <br />�'��-a5 <br />�. <br />newconsW�llon: Sharl <br />No._ (attach capy of long legal deacrlptlon) <br />• <br />�' <br />_Ownor _CrvmeYsAgent �COM(2GIOf _COflfYdt10r5A0Bt1� _T��9011�u+clpreNEeokllarolmnaemlmmUeo.MorieOonvMlni <br />�R State Llc. # � Q/l� 3E �SOf City Bus. Lfc. # W� <br />�� �, � I PhonelEmail �ap' 7� 'Q � � <br />il ESS E CONT/�CT �R PE�IT <br />--s / / /1_ <br />Ph e�E meuClZi% DItX-� ���-7� 9-o a y 3 <br />3 PERMIT APPLICATION CONTRACT PRICE OF WORK `�1S `=� <br />Use of Bc:taing <br />u <br />d U6e of �ullding I ues v eiecmc umer <br />/ <br />rype: v SingleFamily _Duplex Townhouse _Multi•Famiy _Commercial <br />�ro ocC New °ddltion Remodei ReDair T.1 Sian Sprinkler Oemolition Chanqe of Use <br />IJfjTION OF W� (nddilional apeco pmvtdod on Iho hock): �` ���� <br />! o -� ���-�� ���. � �S%-Q � � ��„s <br />APPLICATION <br />dProJect: ,_Now_Addn ✓AMor.+tlon_RaWlr I ITypaofProJoci: _New_Addn _Alteralion_Repair <br />Medical Gas <br />1 horeby certfiy Mot 1 houe natl onO e.amino0 ihs oppfaoGon enE know iAe eome lo Co Irue and mrtoct. AO provisions ollnwa ond oNlnenaw qovominp Nls rypu ol woM uill Ee mmp <br />with whoihnr apocMod homin or noLf Thn qmnUng nl n DertnN doas not O�o;umo lo pHo nuModry b Nonto or rnncM Iho pmvblon of xny oNnr swlo ar la[nl Inw rogubtln� mnsWrlMn <br />That I am authorheE Oy Iho nr u P�oporryt pOtlotm Ihu wnM /p��h a00��bn I�anC I complY�� �c Sinta Cantraclon Lnw 1837 RCW nnd YflB200A WAC. <br />� 3 <br />OwnorlAuth d ontSiB^aturo Oaro � (Rnvlsod9/201q <br />