Laserfiche WebLink
• <br />C] <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/&�LUMBINGISIGNiSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARF. ACCEPTFD FRUM 8 AM TO 4 PM <br />lor new construdion: Shoh <br />f <br />_ Ovmer _ Ownefs Agen� <br />� <br />(atlaU copy ol lonp legal descripibn) <br />_ConlractofsApenl _Tenanl�m�n�omea.birro2mumrtanm.w.wmao�n:.u».pr..� <br />BUS. <br />NG PERMIT APPLICATION <br />VI �/f� �1i/1 � b <br />7 7Ss <br />-� %rc�,�,��, <br />�hone E-mail yZS (o % %Sf � <br />:ONTRACT PRICE OF WORK i. <br />ng Use o( Building � <br />�sed Use o`f /Building <br />ng type: J� Sing�e Family _ Ouplex _Townhouse _ Mulli-Family _ Commercial <br />of oroiect: New _ Addition � Remodel � Repair _ T.I. _ Sign _Sprinklei <br />SCRIPTION OF WORK �additianal space pravidedon fhe back): <br />Qepl4�e. /Lc��',Q,�cIJ r�e� P�,-�, a�f �vu--�'���,fD��2�/��G-IQ �. <br />1 M��,�;., ILvc/ Jo�F 1,o„�e . Ado%�� �� �E/�l�wtt �,vt %' W/D /i�r.., <br />ToS�No/—C. �L�C/C(f Gti(.L.�i7 /LGL�CiI/�CO <br />PE RMIT APPLICATION <br />ofProJecl: _New_Adtln _Alteration_Repalr I ITypeolProJect: _New_Addn <br />Show Numb¢rlpl ol lirfures Show NumbN fNJ <br />Meaical Gas <br />Other. <br />_Repalr <br />I hereby ce�M ihat I heva read end examined Nie applKalan enE knavt�e 6ame lo bo Irua enE corten. AA pmvisiona ol law� enE oNnences yovemFp Mb rype ol�w4 �til De wmpled <br />wA�wfiel�erspeafieA e�einornoLTheprantinpol imit0oafnolpresumaloBNeeuNOMyloNoleleorcenaeltheproNspnolanyottieretalealocNlewrepulalnpconsVuction <br />T�al I am eu0iotl: me owmrol Nie proOeM io orm lho woA Iwwhk� epp@albn B meCa nnd I compN wlh Ihe Siele CMUeclon Law 7827 RC1YenC 198200A WAC. <br />/ <br />� _"� ;� io �2 1(� <br />Owner/A�h dzetl Agent Signa ure ate (Revise� YlOfd) <br />