Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/MEC HANICAL/PLUMBI NG/SIG NIS PRINKLER/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 /> SITE ADDRESS: PROPERTY TAS P MIT <br /> 00 1 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER i Phone/E-mail <br /> Address l i 4o ly t, l5att 36 City/State/Zip <br /> APPLICANT; Owner —Owner's Agent _Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work In the space) <br /> CONTRACTOR Q h(, Gi.doh CAA State Lic.# m A ' Tc t)O' City Bus. Lic.#0 U <br /> Address T � .�or�s F �� Phone/Email <br /> TENANT BUSIRE77NAML CONTACT FOR PERMIT V�h 7 -e <br /> !r t %l/ <br /> �� 411S Phone/E-mail C <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK S��N <br /> Existing Use of Building /Z411 <br /> S it c'i 1 u- r HEAT SOURCE: <br /> Proposed Use of Building /Z411 q I- I I k �#- Cas it Electric_ Other <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family L Commercial <br /> Type of project: _New _Addition Remodel _Repair V T.I. _Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back)' prnovP– <br /> (7 d a barU; <br />