Laserfiche WebLink
PERMIT APPLICAi�ION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 wv✓w everettwa.org <br />-, <br />lai rew con5lmciiort. Short <br />..a —i <br />� PNOPCRTY7A%�7 PERMITII <br />1lA ' � <br />drvuion Lol No _(attaeh eoCY ol long legal d� .o�ption) <br />i .. _ n. _ _., _ . 1 I! I /" <br />L <br />�1 <br />� <br />Owner OwnersAgent Contredor ComractofsAgem Tenantt��siprn,ce�io-ero�w�,��n�mi+oo,��erioao.on.�n•.no�ca�e� <br />.. �i _•�—A _ /1u1v1 P.1� s�a�e uo a crty E�S._��c a <br />ILDIPIG PERMIT APPLICATION <br />Use al Owltling <br />Sci,wp a� qbo�- <br />PRICE OF WORK �� / Y300 <br />ad Use of Bpuilding � '"'"_ - "- - - — <br />� type. J Single Family _ Duplex _Townhouse _ Muui�Famdy _ Comm=rcial <br />� pro ed Ne�v _Addition _ Remodel _ Repair _ T I. _ Sign _Spnn�cler _Demolition_Change of Use <br />RIPTION OF WOR K ladd�nona� space provided on me back) : <br />r�.�[ace 9as furna.c,e <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type ot Projoct: _Nuw _Addn !' Altcra <br />Show Nunrbcr(N) ollixfures <br />NC - av handlin <br />Wc�er <br />I SUPI <br />Number <br />_Ropair <br />ION <br />o� Projecl: _New �Addn _Altoratlon _Ropair <br />Shaw Numbcrldl o/Iixtums <br />sink <br />in <br />Medical Gas <br />Other <br />I �cichy cenTy �hat I �avc rea0 and c�a�n�ne0 th:s apphca;ian ana Anow IM1e samc lo �c Ime an� mrred Ail pmvis�ons ol laws anG orcrnances goveming tMs IyFc al wod w�ll Ee compl.etl <br />wM1� whC'�her s{Mufea perein or nol ine gran'ing oi a venn0 OJes no1 presume lo give a �nornp Io vio�a;e or r. ncel ine provision ot any olher slate or Iocallaw regulalin9 conslvction <br />T�al l am aw�on:ed �y Ne owner t. propMy �o peAo�m I�e work lor which eD7hcalwn �s ma0e anOl comply r.Y�� 11e Sia�e CoNratlon Law 1B 77 RCW ana 294 200A WAC <br />_� <br />Ownor ihorizeAAgenlSignature Dale (ReviSed,Y1013) <br />