Laserfiche WebLink
PERMI� APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />p <br />c <br />U Lot No._ (attach co ol lon le al descri tion <br />lor new conslruction: Shor1 PlaVsubdivision PY 9 9 P � <br />�.i (/%u, <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />PhonelE-mail �-/ � `J J– J / " <br />CitylState/Zip �� � '� <br />�(S L81Lic.# � � �'I �–�� <br />� Phane/Email y� -3���-!�1/y <br />CONTACT FOR PERMIT <br />�"'8 � PhonclE-mail �� IA.E.ub��L��J�J�7" <br />C�y� CONTRACT PRICE OF WORK o� , �) _ <br />HEAT SOURCE: <br />Froposed Use o�vilding I "°' — "`"•'•"— ' ••` — <br />Building lype: Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of projecl: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DesCfipllon Of Wofk (addifional space provided on fho back): ' I_���.� (�� �( ,/\L!�, <br />-�-�� �„�.- e�� s�, ,.�„sn�: c� �,��9�- � <br />.�-., e �„�% �j �.o ��. .�..� , eQs-a�� v �,,�� � <br />Have you started working Vdithout a erm 1_YES NO <br />MECHANICAL PERMIT APPLIGAT <br />o1ProJocL• _Naw_Addn -Altorallon_Ropair <br />ShowNurtiber(p) l/ixfures <br />I A!C - air handlina uni�s <br />fan <br />Heat <br />/ SUPPRE�SION SYSTEM <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />ol ProJact: _Now_Addn _Altaration _Ropalr <br />Show NumberlMl o/flxtures <br />Medical Gas <br />Other: <br />Other. <br />I hereby certify that 1 have read and examined this applica�lon and know Ihe same lo �e We and corred. All provisions ol laws and ordinances goveming <br />this type ol work will be complied wilh whMher speclfed herein or not. Tho granting ol a permit does not presume lo givo aulhotlty to violate or cancel <br />Ihe provision of any other slale or local law regulating conslruction or the pedemiance of constiuction. That 1 am authorized by Ihe owner ol this propetly <br />lo pedorm the work lor which applicati n is ada and I comply with Ihe Stale Conlractors Law 7827 RCW antl 29�.200 WAC <br />p �q � ( <br />� �� �� 71ii � � �V��� �' � � �I � � �� (Revlsed 22011) <br />OwnodAuthorized Agant Signatura <br />