Laserfiche WebLink
� <br />PERMIT �4PPLICATION <br />� <br />BUILDINGIMECHANICALlP�UMBING/SiGNISPRINKLERIDEMOLITION <br />CITY OF tVERETT PERMIT SERVICES <br />3200 Gedar St , �veret�, W!� gg201 - 425-257-8810 - FAX 425-257-8857 - cn•nv everettrra o�y,/ <br />APPLICATIONS ARE ACCEPTED FROM 9 Atll TO 4 PM Id" ��`i `�� <br />SS: z � <br />. � n i /7 /]J/�' / l .� i <br />AL lor n?w consV�tlion �h0�t P aCSu[o.vbron_ __' _'. _ <br />TOR <br />U�Er ��,�r£� <br />BUILDING PERMIT APPLICATION <br />TF%p <br />r. <br />a <br />lc"•o ��+•Iv�'�wpYol'c�^q'epalCc,eripbcn) <br />�one'6-�a�1 �7�� ��d /7— �0 (CJ <br />lyrs�aterzip �<t l�l�}� LJ/ � / �/�-S <br />E I Li� # <br />P,horc'Email h�i/��C/� Sl{!'A� /NI ". <br />ONTACi FOR PERMIT <br />,�-�-��„��,���� )y��Yr-/�G� /s�r-13G "s- <br />, <br />ONTRACT PRICE OF WORK �- _ <br />�st �c Us� cl f3u� d��rq ______ _. __ NEAT SGURC[ <br />�posetl Use olBudAmg C�' "'��t -� ,L IJLiJ i�Z f SS __ Gasy E�ectric_ O�ne�__ <br />dtlmg type _ Sing'e Famdy _ Dupte. _Townhouse _ MuIh�l=amiW _ Commeroal <br />pe c! p:c;^c' _ Ne,v __ PCdd�on __ RemoCei _ ReGa;r _ T I__ S�?n _Sprinkle' _Den'.o'�,�tion_C�ange ol Us? <br />�SCnphon o� VJett �a_: nrtcnal sF��e pror�Ced en me bac�) <br />�QMfl �}7-/LGy� <br />! <br />ie you slaricd worMing wilhmd a permit7 ___Y[5 _ .NO <br />MECHANICAL PERMIT APPLICATION <br />colPwjcU: _New_Addn ___Altcraliun_ __Repav <br />Sbow Num�er (k) al Lrlures <br />j A,'C - a�r handl�ng u�ds <br />� Forced an systems <br />Gas p'pmg <br />YVatei heate� <br />Gas GieG��ce <br />I Gas r. nqc <br />Glothes drycr <br />Herqeho0d <br />Exhaust lan <br />Hcal Gump <br />Umf healer <br />Boder <br />Retr�gerat�on <br />� N'cod5lovr, <br />U.:curr� <br />� o�hcr <br />SPRINKLER / SUPPRESSION SYSTEM <br />INumher ot Heads <br />, n r7 <br />PLUMBING PERMIT APPLICATION <br />ol Projcct� _. Jlew _Addn _ Altcratmn _Rep. u <br />Show Num6crlal ol li+fures <br />KAchen snk <br />�nM <br />Medical Gas <br />Olhet <br />pth �r <br />I hereby cefidy Ihal I have reatl and erammetl Ihb apF4Catlon and lnow Ihe same to be INe antl correcl Ail provis�ons ol �aws antl aidinances govem�ny <br />I�is ly�e ol work will Ce complred wittl whether s0cu7e0 tiem�n or nol 7 �e granting ol a permit Coes nol p�esume lo give authority In violale 0� tan[el <br />�he pwvis�on ol any other sta�e or local law regulaling [onslmciion or Ihe performance of censirutl�rn� That i am aulhonzed by the owner ol ihis pmpe�ty <br />to pedor e work lo� which applicalion is matle and I comply wdh Ihe Slale Contraclors La�v tP,.17 RCW and 296 20C VJAC <br />__��1�%%�1.1�/C � ( ���1� �C�' =1 3 - � / <br />Ownal ulhcriztdAgen15ignaluro Da1e (Revrsed.'�2011) <br />