Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />lor new conslruclion: Short <br />?7SSl7 Q o33ov <br />No._ (attach copy o1 long legal descriplion) <br />_Owner _OwnefsAgent �'L.ONfBCIOf _COMf0CI0r5AJP.11� _TBf130I(n.usipmNEoalaCerol[OnSenlRwnNop.vON:odowodinNespa[e) <br />�� <br />/�Z/ <br />BUILDING PERMIT APPLICATION <br />Existing Use of 6uilding <br />or;v —ur„rr:��r: <br />, <br />�' 7.��'cdv f3us. Lia u <br />G/LS^.i67 9S'S/ <br />NlS3�� �SSi <br />PRICE OF WORK <br />11EAT SOURCE: <br />�J <br />Proposed Use of �wlding ��" �L � �as_ Electiic�, Other__ <br />Bwlding typc. �Single family _ Duplex __Townhouse _ titulti-Famdy _ Commercial <br />Type of project New Addition � f2emodel �i Repair T.I. Sign Sprinkler _Demolilion_Change of Use <br />DESCRIPTION OF WORK (oddiGona�spac_ n vided on tho back). �� p� o� <br />% 8 �/s� � �o,�crcic� Smti II <br />2�r�.o,e�oti� �-%� �l ��e"5 ����M`� �,�Mb�a'lskower;�fo; Ic-r, K�ficJ,�., S,:,l� <br />� p o 15 « 200� /V ,u1 Pn5 �fi i�tc,..�S ��'P� L�m� � � t-� -�oaN�a�� o,r Yrv d <br />MECT1—ANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATiON <br />ol Projoct: _Naw _Addn _AltcraUon _Ropalr <br />Slrow Number (qJ ol Iixfures <br />�— A/C – ah handling unils <br />I Forced air s slems <br />Gas piping <br />I Water heater <br />Other __ <br />R/SUPPF <br />Number of <br />Typo ol Projnct: _Now _Addn �{Altoration _RepTir <br />Show Numbcr (NI a� fixtures <br />Cloth[ <br />Watcr <br />Smk( <br />Urinal <br />Dnnking Fountam <br />Fioor drain <br />Grease irap <br />Roof diains <br />Medical Gas <br />othec <br />Olher: <br />I AerebY ceNfy IAaI I have ieaU nnE eramineA th . npp:�wiiun anJ hnow the same to be Ime anJ eortetl. HO pmwions ol I�ws anE orCinanees goveming this lype ol wod vnll be compGed <br />wnh whclhcr spcUfietl Lacm or not l�c graMing ol aR rmil'locs nol p�esumo l0 9rve auihottly to violalc or wncel Ihc D�ov�sron nl nny othcr slalo or Ierr�l lav regulabng tonsimq�on <br />That I am aufnotlrc�y InDowncr of t��s pwpeny to�omi I�n worA lor wtiith appliwlion is madc anC I tomply vnth Iho S���c CoNranon Law 18 Y7 RCW inC 79fi iWA WAC. � <br />,� � L Z <br />u <br />(Revised 3?0 f 3) <br />