Laserfiche WebLink
0 <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICAT�ONS ARE ACCEPTED FftOM 8 AM TO 4 PM <br />for new conslrudion: Short <br />_Lol No._ (altach copy a� long legal descnption) <br />_Ovmer _Ovmer'sAgent �Conlracwr ContractofsAgenl Tenant�muunro�a�eneracrosemm,n+ubw..Krroeo+�omm�ew+ml <br />BUILDING PERMIT APPLICATION <br />Use oF Building <br />Proposed Use of Building <br />Building type: _ Single Family _ Duplex _Townhouse _ <br />Tvoe of oroiect: _ New _ Addition Remodel _ Repair <br /># L1N/ D COE Bus. Lic. # 1 <br />- Phone/Email y,�,s-,�y9-,S o�Yy <br />�TFORPERMIT �,� A�.OLLD N��a <br />�AT R041L• <br />oan N�.� -3N9'.YO�/h� <br />PRICE OF WORK <br />� Commerciai <br />)ESCRIPTION OF WORK (addrtional spac^ pmvided on the 6ackJ: . <br />�nyta// fwo C�� Han"Ii t s�n!' on 1�s�t e%vni.e., . <br />/nlfa/� r�ton i�//�eN.inn/ed S�9n on .L'a✓i e/tva���n. <br />PERMIT <br />ofPraject: _New_Addn _Altcration_Repair <br />PLUMBING <br />.s�0.— <br />Use <br />Type ol Projecl: _New_Addn _Alteration _Repair <br />Gas <br />I hnieby cnHilY thnl I l�me mnd nud ��nluhicd th11 xpUp��b�� �nd kiiaN IFr inine Vn be Fue Nid CtlriM AM pitiolslm�9 ul Inws nnd oNinanua poveming t�is rype ol wo�k �WI �e mmplie� <br />mlll Wllnllier bpecAle�l �de�1 a nnl The gnn�tnp M � pB11n1 Mn nM Ilresuma 10 ON� �ul�orlty 10 vb41f M CaH�xl Nttl pmYNhlll PI q�Y PM�eI ildle PI kiGdllryW �9guM1in0 G^��INCllon <br />tl�at 1 n numonzM Gy Ine ow+�cr f Inis pmperry 10 pnrlorm Ne work lorwi�ich app4u��on is matlo and l�nmpry wnh 1�e Slatc CanVaGors Law 1827 RCW enG 29b200A WAC. <br />�I/' 1 I �/Z <br />��.��'�((' "`�%I 7JZ4-//Z <br />OwnQrlAulhorized Agent Signatum Date (Revrsed fi�2012) <br />