Laserfiche WebLink
PERMiT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 Cedar St., Everelt, Wn 98201 425-257-8810 FAX 425-257-8857 www.everetiwa.org <br />ADDRESS:���� <br />lar new eons�ru�lian: Shorl <br />_Ownci _Ormeis�gent <br />3i� QL <br />�i <br />BUILDING PERMIT APPLICATION <br />+ <br />Tnx a <br />No._ .(a�lach copy ol long �egal tlesnip�ion) <br />,�!l7-s-_�s-4_ U7/�i <br />_CO�IfdC10(Si�9C01 �_TCOdO(�muslpmnCoaletterofronsecilmmCroo«nerloCoweM�ninaspacr� <br />�Phonc�Email rY/I- <br />OR PERMIT <br />ZZ• /i'� �� <br />� Ca- <br />pRICE OF WORK <br />Use of Duilding � <br />d Use of Bwldin9 <br />type Single Family JC Duplex _Townhouse _ Mulli•Pam�ly _ Commercial <br />uojecl � New Addd�on Remodel __ Repair _ T I_ S�gn _Spnnkle� <br />',IPTION OF WORK (add�iiona� �pace provrded on Ihe hack) �. <br />���iN d,t��� �derno�l hous�) <br />MECHANICAL PERMIT APPLICATION <br />oi Pro�ect: _New _AdAn _Allcration _Repair <br />Show Numhcr (p) olli.fures <br />NC—au handling units <br />CIOIhCs <br />Olhcr <br />Nwnbe� <br />H[A <br />F3us Lic <br />m <br />.GN*� <br />1 2.oa� <br />PLUMBING PERMIT APPLICATION <br />of Pro�ecl: _New _/1Jdn _Alleralion _Rcpair <br />Shmv Number(M) o//ixfures <br />drain <br />Medical Gas <br />Othcr <br />8 <br />I hemby cemty Ihal I have icad :mC erare�ned Ihl. npP��cabon and Mnow IAe samn lo Ee Ime nnd coned A!I piovisions ol laws nnd urdmances gOverning R�i, type ol woiM v:�tl bn compl�ecl <br />e:nh vihcihcr spcuiirU hcirin o� not Tlio granhn0 0l a permtl tloc5 nol prcsome �o grve nidhouty In via�atc or wnccll�e provision ol nnY olhcr slalo o! local law regulaLng con•drv�lio�� <br />Ihat 1 am aaR�o�ized �y Ihc uwne� ol ip�; propMy lo petlaim I�n woik lor vihic0 npphcalion is ma0c antl I comply wAM1 Ilm Sla�c Conb.iJms Ww tfl 17 NC.W an� 196 200A W�C I <br />/���a D,1/0 ' 3 e2G/ (, \ ?� <br />O ncr/Aulhori�ed genl5i ialurc ��� Daic (�evisM3.013) <br />