Laserfiche WebLink
U <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, NJA 98201 425-257-8870 FAX 425•257-8857 www.everettwa.org <br />� `os-� 5 <br />• �nnoecm VNOPER7YTAJ(M PflRMITp, ._ _ <br />for new construction: Shotl Plal/suhdivision Lot No._ (attach capy oi long iegal descn0tion) <br />�� �'�Ci i� i er ("1 V E �urymia�erup — <br />�(Owner _OvmefsAgent _Conlraclor _ConiractoYSAgent _TenaMlmu.�o�o.+aeai�ne�oim�,����mmmco..e�a,ao.on��uc <br />r �Slate Lic. M City Ous. Lic. # <br />PERMIT APPLICATION �GONTRACT PRICE OF WORK <br />Use af �uilding <br />r�Enr <br />iosed Use o1 Building � �aas �mcm:: umc� <br />iing type: ,]� Single Famdy _ Duplex _Townhouse _ MWti-Family _ Commercial <br />ofpro'ecl� �N�w Addition Remodel Repav T.I Siqn Sprinkier Demolition Change oiUse <br />iC RI PTION OF W ORK (addrianal space pmv�ded on Ihe back) : <br />�xu„v �x��+�rc� nb.-�,u...1 5�5 L,nn�. <br />i.�,��U �as wo,len �n �le"`F (��pz. <br />�'nsinll n�.w c as hed- ���a, htr:,'itr � <br />MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPi1CATION <br />�o1ProJoct: ,�New_Adtln _AMeratlo�_Ropalr TypsolProJoct: �New_AAdn _Altorotlon_Repair <br />G3s <br />air <br />of Hcads <br />washet <br />Medical Gas <br />Olher: <br />I hem�y ce�ity I�al i Anve rentl antl anmined II+I: app(<at�on and Annw t�e same lo be We antl correct All prnvisa�s ol la.n aoa ord�nance, 9nvem�np iMv lype alwnrM vnll Or. cortip <br />wfp wTpl�e� sDeM�ed herein or nol iTe granLng nl a pe�mil aoes nnl pre5ume l0 9�ve aul�Only lo violate o� W�cel I�e provnron ol ony olhe� slnln or Mcallaw �eqaLiUng conflmc0on <br />ihal l��om�e owner ol lhi wDe�ty lo pep tlorm Itm wniF fori ¢� a0�ncalion is mo0e anel 1 compNwl� ��e Slaie ContractoS 1 aw 19 27 RCW anE 796 200� IVAC <br />1 <br />\ (� DS � Zo I S <br />OwnodAulhorizod Agont Slgnaturo Dale (Remsed �Q015J <br />