Laserfiche WebLink
PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SER`JICES �—O 3-�I2 <br />3200 Cedar St., Everett, WA 98201 - 425•257-8810 - FAX 425-257-6857 -www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2�� �l v� <br />fornewwnsiruclion: Short <br />G�NZ9tPL <br />zii�l urre'c��'i� <br />BUILDING PERMIT APPLICATION <br />NNLC2SCv <br />�6 (atlach copy ol lo <br />�H�-S%7Sd-6f"/3 <br />Ev�rreri, u�q <br />� i�� 7�z' t,' S/ 3 <br />PRICE OF WORK � <br />legal descnption) <br />C./f'GCNC E yAH�+u, �o.n <br />9S'Lo) <br />4QGCII��C' Y�fHa+�rcx <br />izis�ing Use of Building �(N' � e" %'�"��'� �` t/n` �`c HEAT SOUKet: _ <br />'roposedUsaofOuilding '�N,��d f^'^i�Y ���fiQ��2 Gas� Eleciric_ Other^ <br />tuildingtype: �SingleFamily _Duplez_Townhousa _MuIN-Family _Commercia� . <br />'ypeofproiect: _New,_Addition _Remodel _Repeir�T.l._Sign_Spr�k�le,N �noi�n� �a�ej�lU�� on'iw��� <br />)eSCfiplionofWork(adtlifionalspacoprovldedonfhebackJ:^��7JuY N/NOdti . 'fA'�!��I� 'N L �.c�7/e� �� ��fa,VT.�t�''�'� <br />[cNrio-aF�rUaJ. Rt.�a:'� rR�s�.Wi wi+',7�w Ho0 /PFoTbPf T�7S 9 <br />usi•'eb axN reNSiit'uc7���J d9�+C I^�Pe Its a4miti4L oJe.v�N6. �ws.t.4�T6 W�/rI RIS. eo.t4 ✓.7H �M:'4YNPou• <br />! A+«d•�A'e�7 nn'r.pv16 SiO�Na T' A+��T/*1 UT'�blvql. �'7��hR4^ft 1 PAcJ7 7� d�qTU. 2YF� S�cL .�/d xE s7SN <br />iave you started working wilhout a permit7 _YES �NO <br />u�ecueu�r_n� PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ofProJecl: _New_Addn _Alteratlon_Repalr <br />� <br />ofProJecl: _New_Addn _Alteratlon_R¢palr <br />Olher: <br />Gas <br />I hereCy certiy thal t havo read antl ezamined this application and know t�a sama to be trua and correcL All provisions ol laws and ordinances goveming <br />Ihis typo of xrork wiil 6e wmp�ied w�ih whMher specifed herein or nol. The grenting ol a permil does not presume to give authotlry la violate or wncel <br />Ihe pmvision ol any other slala or local law regulaling wnstruclion or Ne pedortnance ol consWctlon. That I am authodzed by the owner ol t�is properry <br />to peAortn th/e woJr� fa� �wN�h applicalion Is made and I compN ��h Iho State Coniractors Lew 10.27 RCW antl 29B20U WAC <br />___��rC�6�/r��'/ �L' <br />Ow dAuthor ed §ent SI iatu�� ^ <br />Datu (Revised ?/POf iJ <br />I/ � <br />