Laserfiche WebLink
PERMlT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ___�� _�L <br />� <br />TAX p <br />lor new constiuction: Stort Plallsubdivision Lol No._ (allach copy ol long Icgal tlescrip�ion) <br />� �j� (i Ci�y/; <br />!✓i�P/ L&I <br />BUILDING PERMIT APPLIC/lTION <br />Use of Building <br />Phonc![mail <br />•/ai-5o8 S <br />PRICE OF WORK <br />HEAT <br />�sed Use oNf Building S/N6L�% ��7 L �FSiJ�,.t/i� I Gas_� � Electric_ Other_ <br />ng type: yS Single family _ D plex Townhouse _ Multi-Family _ Commercial <br />of projeci: _ New� Addilion � Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />ripiion o( Work (adCiOorv�l spdce provided on fhe backJ: G�%NVY�7 qQ0 S/� GQ2�x' 7m G/�/�c1` y <br />srac� a�c��o,,�c, , &�o��r, Q,�N,e�•y <br />, . �NO G�ME F�H <br />you started working wilhout a permit7 �YES _NO <br />MI_CHANICAL PERMIT APPLICATION <br />ofProjecL _New_Atldn _AI�creUon_Repair <br />ShowNumber(N1 o(lixtures <br />Im <br />1 SUPPRESSION <br />PLUMBING PERMIT APPLICATION <br />o(ProjecF. _Naw_Addn _AlleraHon_Ropalr <br />Shaw NumbcrlAl o//ixtures <br />Aledical Gas <br />Other. <br />M <br />I hereUy cetldy Ihat I have read and c..amhied ihis application and kno�v Ihu same to Ue true and correct. All provisions of �aws and ordinancas goveming <br />Ihis type ol work will be complied wilh whe�her specifed herein or noL The �mnting of a pertnit does not presume to give authority to violate ar cancel <br />the provision of any other s�ale or local law regulating conshuction or Ihe pertormance ol constmction. That I am authorized by the owner of ihis p�operty <br />to pedorm the �vork lonvhich application is made antl I comply �viln the Slate Conlractors Law 1827 RCW and 2962006VAC �, <br />'V,C �..J Ci� L.N�G.� C Y� � <br />� .' <br />�� �%•. /.:/ �//,.�+,_ %7. % ;`�i�' � �t'��,��r� .} �,�.�_„ l. L..� �d dC <br />OwnerlAulhodzed Agent SlgnaWto " Date � 1 �� � �` L ` � (Re�sed�R011J <br />�- �•��_ti� tK-(.9•���_ � �,�-,r�} ��/,`ir � <br />i <br />