Laserfiche WebLink
( <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBiNG/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROPERTY TAX N PE IT M <br />2az5 h-0�e-��.U.y� o�rr u�acws� � z0 � O <br />for new construction: Short <br />�pN� <br />:TOR �+� aUtl,l <br />(0/2% 3S� iFVE ,( <br />Je <br />(�W �flh`"r °1'" ORN7 N. Jot.� <br />BUILDING PERMIT APPLICATION <br />Exisling Use of Building �� <br />Lot No._ (attach copy ol lotg legal deurip�ion) <br />i <br />Phone/E-mail y3 ` 2�J�1 <br />cayis�ac�rz�c M �KI Wa� 5� Z 1— <br />L 8 I Lic. p �. E # Ci A <br />�S��d Phone/Email S'0� —I.i.i) <br />CONTACT FOR PERM�T �,7 6�,�—�i� <br />PhenelF-mailCy� J;YL � r7, f7�-(9��g}'(t'lli� <br />PRICE OF WORK <br />HEAT <br />Proposed Use of Building PM'+P' F'Jf`�Hh't- �A ��� � GasZc Electrics Other_ <br />Buildirg type: _ Single �amily _ Duplex _Townhouse _ MuAi-Family � Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. � Si�n _Sprinkler _Demolition_Change of Use <br />DescriplionofWork(a2,iirionelspeceprovidedonrheback): �n.,,,�- ���,�� !ib►w.i.y��..i e...,� R""�vj �h?��"�y"iT <br />F°ti A 2p�., sF �a^^-t-,�,,,� �3tnt' . <br />you staRed working without a permil? __YES _NO <br />PERMIT <br />alProject: _New_Addn _Alteration <br />SPRINKLER / SUPPRESSION SYSTEM <br />New Addn Alteration <br />Shaw NumberlM) ol /Jxtures <br />Medical Gas <br />Othe:: <br />I hereby certily lhat I have read and examined this application and know ihe sama to be ime and wrrecL All provisions of laws and ordinances goveming <br />Ihis rype of work will bo complied wdh whelher specified herein or not. Tho 9ranting ol a permil does nol presume to give authority to vioWte or wncel <br />the pmvision of a y other slate or local law regulotirg consimction or iM performance of corelmctioa Ttwl I am authorized by lho owner ot Ihis property <br />lo pedoim Ihe rk for whkh appliwtian is made and I comply with ihe State CoNmctors Law 1827 RCW and 296.200 WAC <br />�— <br />O erlAWharized gen4Sl§nature Date (Renscd?/:Of � <br />I Z <br />