Laserfiche WebLink
PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLIT�O�i <br />CITY OF EVERETT PEKMIT SERVICES <br />3200 Cedar St., [verett, WA 98201 425-257-8810 FAX 425-: 57-8857 www.everUtwa� �`I , <br />PROPERN TAY N PERMIT # <br />/,DDRESS: ��` - � �l.l � �j[�� � � C� �' <br />_ ;� �� — �� ' %� S�-- � <br />IL �or �crv conslmclion�. Shml PlaVsubdivision�---7 Lot Ao._ (altach copy o� long legal descriplion) <br />� ,.I�,.... J/..�.Ii�l�_f I�'honelE�mail ��5 .�S I—�LC.��^ <br />a'j/—�/._/! .�' <br />T: Owner Owncr's Ag <br />TOR .S-'f•f<t%b(/Y�(� 7l <br />.� , ., , . c G l� <br />� /��7 �� / <��C� <br />� CO�1�qCI0f Contraetor's�genl TCf12�1�mvatpmrEaale,",erotcornenlhomV�omnerUEowo4���:"espace7 <br />,���y� �� Slate Lic #S 1L�b�b1 L C� � pC- Cit Bus. Lic. # <br />l��'/�'7 [tt.�i_�o� i( 1���)�Nr,o„e�ema�i ,�L�` `� j� %J"� % <br />ILDING PERMIT APPLIGATION <br />Use of Building <br />i Use of Building <br />type: � Single Family _ Duplex _ <br />pRICE OF WORK <br />Mulli-Family _ Commercial <br />,nair T.I. Siqn _ Sprinkle�� <br />of U5e <br />DESCRIPTION OF WORK (edtl�tioral spaco p�ovided�on the back): <br />' � ' <br />`l, , L,LC' �' L )u[lA <br />, r �.. y_� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type o( ProJect: _Now _Addn _Alloratlon _Repair <br />Slmw Num6crlbl a���xmres <br />PPRESSION S <br />er of Heads <br />ofProJecL _New_Addn _A��eratlon_Ropair <br />f <br />Other: <br />other: <br />Gas <br />1 P�meby ce� ly Ihat I hevo rea� and eMam�ned Ihis applmation an7 kno�a� �ne sama lo be Ima antl eorretl. All pmvisians ol laws and urC�nances govem�ng thls yFe el v:crk wil he compned <br />ni.n wbether speciGea perein or not The giantmg ef a p^imit Eoes nut pmsume b give aul�oriiy to vlolat! or cancell�a provision al any ethe� s:ate m!:_�' �.��,�';e3dia;m� cc�s:mcl�.en <br />i��at I am aulhorized Oy I�e o+mer olthis pmpe�y lo perfurm t�e work tot which eDPI¢ation If mada entl I compty wM1h I�e Stete Con�recfors La�v tB 27 fiC�7 an� 1�G ZO^A C•AC. <br />� ��<�(%i .���L'��1��� �� �r� �i <br />OwnedAuthc'ized Agent Slgnaluro <br />Dals (Revised 32G13) <br />