Laserfiche WebLink
c <br />PERMIT APPLICATION <br />(� <br />��u��� <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8870 — FAX 425-257-8857 —www.everellwa.org J <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ' �`" �i7i _! L <br />�-1 lv <br />�L for �rew <br />Uae <br />1. <br />APPLICATION <br />e <br />(attech <br />� <br />PRICE OF WORK <br />� leqal daacriptbn) <br />�� <br />L.�J� G <br />l G3�J <br />_�5$ ( — <br />� _�� n; <br />ng �SI Family _Duplex_Townhouse _Multi-Family _Commercial <br />ot p �d: ew _Additton _ Remodal _ Repeir _ T.I. _ Stgn _Sprinklar_Demolilion_Chenga of Use <br />��IpUon (atlditionalspacepmv(dedonfheback): <br />P,�.p1acQ ���� nq fvc r�c:� �'��.e �ur �-� � <br />you etartsd workln8 `�+�thout a perm�t7 _YES _NO <br />PERMIT <br />ProJect: _N�w_Addn j�Alterallo�_Repalr <br />ofPro�t: _New_Addn _AtteraUon_Rap�lr <br />Medicel <br />Other: <br />I �ereUy certiy that I have read an0 eKaminad t�is eppllcetion and know Ihe aame to be lrue and mrtect. All provisions of laws �nd ordinence� qoveming <br />Ihis rype ol work will be compliM vnlh whether specifietl hereln or not. Tlie prontinB ol a permit does not presume to ylve euMaNy to vblaM or uneel <br />tne provlslonnl.any-o r slale or local lew repulatinp conslruclion w Ihe peAormence ol construclion. Thet 1 am euthorluG by Uro ownar of Mb pmperty <br />to rm the xork lor whic pplicatlan la made end I wmpy wNh Me Slete Contractors Law 78.27 RCW entl 288.200 WAC <br />21 �2- <br />O erlAuthorizad Aganl Slgnature Dete (Ravised 7/P011) <br />