Laserfiche WebLink
PERMIT' APPLICATION <br />BiJILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa?.org -7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM %—..JO —� v <br />cA A�/� �Jzre.t <br />for new constmctian: Shorf PlaVsubtlivislon ��� �- -� �' � <br />� C.��ral r��a.uµ-�e w¢S i Ll�. <br />(B%7 ItoT�'t AJa� NL,S'••:T`'� 2/l <br />oS"SuZZoo�S 1 L-IdV7- <br />.ot No.� (attach copy ol long legal descrlption) <br />�L��Jkc_ W� -lO�no <br />i <br />Owner _OwnersAgent _Coo;iador _Contraclor'sAgent _Tenantlm�sieroraeaianero�co�semnommea+�erioaawor���Naspocel <br />I Lic. # <br />PERMIT APPLICATION <br />Bus. LiC. # <br />PRICE OF WORK <br />Existing Use of Building / ' �f <br />Proposed Use of Building %�- i'�(��N7'� f/�v5z <br />Building type: ✓ Single Family _ Duplex _Townhouse _ Multi•Family _ Commercial <br />Type of project' � New Addition Remodel Repair T.I. _ Sign _Sprinklei <br />DESC RIPTION OF WORK (eddrtiona� space provided on �he back) : <br />�ti..,,�C Y.z�.J � S,�c� 1-�o�.ss `, r� 1 <br />( I�C.S i C.. � J' 1 1 <br />MECHANICAL PERMIT APPLICATION <br />Typu ol Pro�nct: ✓ Now_Addn _Altaretion _Repair <br />of Heads <br />HEAT <br />PLUMBING PERMIT <br />otProjoct: �Nnw_Addn _Altoration_Repalr <br />Show Number (N1 o/ /ixtures <br />Othec <br />Olher: <br />I �emDy cenAy thal I �ave reed and eaamined ih�s appl�cation nn0 know Ihe sama to be Irua end cortect All provisions ot laws en� ardinancm goveming this type ol wark w+ll be complietl <br />xith w�et0er specifretl herein or no1. Tha granting ol a permit tloas nol prasumo to give aulnonty to v�olale or cancel tAe provision of any other siata er lowl Isv regula�ing mnstruct,on <br />7nat I am uut�otlzed Oy t�o oaner ol thb pmpeny to pedortn ��e �mB br which appliwlron is matla and I comPlywtt� t�o Slule Contmdon Lew �8 27 RCW antl 296200A WAC. 1 I <br />,� •, / � <br />('. � ��-� �%11 �,1 L <br />K'r' ;, . n�-,.-. <br />OwnhdAutlwrizod Aqon[ Signaturo Dale (Revised 6/t012) <br />