Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �+n�,nv.everethva.org <br />fornewconsl78cUon' Shotl <br />OWNER <br />FROPERIY TN( p <br />Lot No <br />PhonelE�mail �y <br />�-lv-l�/ <br />P RMI d <br />r� 1 r.ln/_ nn" <br />]iress �� �� I/� �(��/� ��G I V'�/ IC�IYIState2�P G}(,P% �,i//_L ���� <br />Y <br />PPLICANT:x_Owner _O�vneYSAgent _Centractor __ConlraUm'sAgent _Tenar.ti�,�sic�-n�.•ec-u�•«�:.,,r«�ywc,:,,��,u,.,-s��in..,�r.,:�� <br />ND Yl "� <br />BUILDING PERMIT APPLICATION <br />�sting Use of 8utlding <br />Lic. # Cdy Bus Lic � <br />P�aneiEmaA <br />'ACT FOR PERMIT <br />�e.ma i <br />'RACT PRICE OF WORK <br />I�iEAT SOURC[ <br />�roposed Us= ol �uilding � �as __ tiectnc_/� olner_ <br />3uitd:ng type: Y S�ngle Famity _ Duplex _?ownhouse _ A1;:11�-Fa•.�uy _ Cemmeraal <br />"ype of D�ojeM�� Ne�v AdCihon Remodel Repair _ T L_ Sign _Sprinkler%�_Demolition _Change of Use <br />)ESCRIPTION OF WORKiade �onaispaceprc��deeontneSack) � n Q' �.1 .. rn <br />t7emol%�;on o-� a��artment k�+��en a a� rv <br />�r�-o�arf-r�v�enfi�o�c�%tr'on �rll bP use� �s � ha(� <br />MECHANICAL PERMIT APPLICATIOM PLUMBING PERMIT APPLICATION <br />ol Pro�ecl: _New _Addn _Al�eration _Repair <br />— d�f <br />��1��[i� <br />ilf <br />ISUPPRESS <br />Number of Heads <br />Typo o� Pwject: _ New_Addn � Alteratioa _RcO��r <br />Show Nunr6er (d) o/lixfures <br />9 <br />Med�cal <br />O�her <br />I �creEy cenrty Inat I havc read an0 e�ammeG ihis apD���abon anC know t�e same lo �e iruc ana coirecl All Dravisicns ol laws end ortrnances geveming I�is Iype ol hoil x'i Lc mrt�pi:c� <br />x��n wnM�er spea(mC pere:n er nel Tne gra.^.ting ol a Dertn! OOes nol presume �o gioe aulnoray to � olate or cancM tne prov�sipn o1 ar�� etner s�atz or IOUI �aw ieqWalmp consru:•,an <br />icat � am aw�or¢eC Cy:ne ewncr ol ihls propMy lo pe�ortn ine arork lo� which appbwbon �s maoe an0 i mn,:iy ��.m �1c SLYe Camad�.rs L aw 1817 HCIY an! 7F6 2MA \Y��C <br />���- 7�I(,G�• l- I 0 - �o! `� <br />OwnerlAulhorizeJ Agcnt Signatur Dale IF«',�ed 3�:0f3) <br />