Laserfiche WebLink
� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT �ERVICES <br />320D Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.______ PftOPERNTA%p PERMITp,, `�n <br />fornmvwnstructlon: S�on <br />�Ul���rc � <br />„� i�7G�^in c� <br />.�Gr ��a- /79�/r�:� <br />�ING PERMIT APPLICATIUN <br />Use of 6uilding <br />a <br />i <br />(attach copy of long legal de; <br />a <br />criA 9Fuva- &�� � <br />!b ���ctiao.c��� <br />i ��aari..c- �r + <br />PRICE OF WORK �� 4" �� <br />k <br />�sed Use of Building Stvh �. � �°'� ` '—' -- <br />ng type: _ Single Famity _ Duplex _Townhouse _ Mutli-Family x Commerciai . <br />of project: _ Nev� _Addition _ Rem�dei _ Rep�ir x T.I. _ Sign _Sprinkler_�emolilion_Change of Use <br />riplionofWork(additionalepacaprovidedanfheback): rV`�VrH� w�✓/� <br />G�c�ih Ki�cl,z�� v�rct Fo- r��<;1 c��k�',.� . /��o S'� <br />,� �� 6� r;�ot,e , <br />Havo you started workine� wilhout a permil? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />01 ProJecl: _NeW �Adtln _Allcratlon _Repalr <br />Shav Numbe� (N) o/ fixiums <br />SYSTE <br />�LUMBING PERMIT APPLICATION <br />ofProJecl: _ New_Addn _A�leratlon_Repalr <br />Show Number (N) o! flxtures <br />Medical Gas <br />Olher: <br />i <br />I� NumberofHeads II _ ' <br />I hereCY �ertify Ihat I havo read and examined this applicallon and knrnv Iha same to 6e Wo and wrrecl. Atl pmvisions ol iaws and ordinances goveming <br />this lype ot xrork �II be wmpiied wilh w�ether specifed h^_rein or not. The grantin9 0l a permit does net presumo!o give authonty to violate or wncel <br />tho provision ol y other state or local law regulaling conslmction or t�e pedormance of construction. That I am authonzed by the owner ol lhis property <br />to pedorm lhn rk for e4i app�ication Is made and I comply �rlth lh SIaIo Contractom Law 18.27 RCW and :98100 WAC <br />Cl � ' � /� /.,2 <br />Owned Uiodu A9ent Signaluro <br />' �ate (Fevised ?/1011) <br />�/L <br />