Laserfiche WebLink
� � <br />PERMIT APPLICATION <br />BUILDINGlMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 wvnv.everettwa.org <br />TAXIf <br />-►'* W�a„ sr� . <br />lor new conslruction: Shorl PlaUsubdivision���dF—QA�1—� Lot No.� (altach copy ol long legal description) <br />t��Z�i. Pau��c- �jJIAIGS P�one/E�madC qZs1'l��S � Z��� <br />�Z,V S'W .�ZJ.1CI1.jaL..� yV1Al,c_.'�,�/�s,,� CilylSlate2ip �� (�(/a • 4� �' <br />_p �I <br />OwnBf Own0f5Agen1 COMfaC�Of COnIrBC10f5A9Bnl Tenantlm�+sio�o.,aaaionoroimosemironvoa«nerioaowon+nmospace� <br />iRCc...ti-r s_ �fiFaF �L F-�,iwt4.� Stale Lic. p$T�AI'CP�i OOS73�.1 City Bus. Lic. MiQO>>-z.�Q� <br />PERMIT APPLICATION <br />�J,/�-vV�-� <br />�TO�rv C1ZA W F-�'L-d <br />�eie-ma�i / 4zs\ 3�C'�-�EooL <br />PRICE OF WORK <br />ng Use of Building � <br />�sed Use of Building _ <br />ng type: ✓Single Family __ Duplex _Townhouse _ Multi-Family _ Commerclal <br />ol projecl: ✓ New Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinklei <br />�RIPTION OF WORK (edd�riona� space provided on fne Dack): <br />of Use <br />Zo-�.� ��,.�s.�, Z ca2 ����z _ �S I `�03 -�D� <br />MECHANICAL PERMIT APPLICATION PLUIVIBING PEP�MIT APPLICATION <br />olProjoct: ✓New_Atldi� _Allarolion_Repalr <br />Show N�mbrr (N) o/ lixfures <br />^ A/C _ air nanrllinn unils <br />Heads <br />oiProJetL `! Now_Addn _Altoratfon_Rcoalr <br />� Medical Gas <br />� Other <br />I hereby cendy I�al 1 hovc read and e�ammee I�is ap0���+"a� �^e know IAe same to Ee irue nn0 tarreq. All Drovizions ol laws on0 ottlinances goveminq INs type olwork vnll0e crompleU <br />wM wnei�er specifee erei or nol The g�anling ol a peim� Coes not pesume la mva aW�only la violale or wneel me pmvisian a� any ot�er stale or lowl law mgulating construclion <br />Tbat I am ul� ixc0 i� ner al l���s propeny lo petlom�t�e work fot vrtdch nppliwlron Is maUc anC I wmyly xn� �he Slalc Convatlon Law f 8.2] RCW anE 796.YWF WAC. `/ <br />bd � <br />- 4-28-I� <br />(RevisedY1013) <br />