Laserfiche WebLink
�ERMIT APPLICATI� <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., [verett, WFl 98201 425-257-8810 FAX 425-257-8857 wvnv.everetriva.org <br />a <br />br new consiruction� Slnrt Plat/subarvision _Lot Ko.__ (atlac� tcpy ol long legal descnption) <br />S� <br />�v ►��,Pk CRG, `lfl S7'8 <br />_Oxner __Owne�sFgenl _Conir,ctor _ContracicfsPgent __Tenanit��,s�.r�=�xac�;crctcnwmncmnec.-c�:oa�,n��.�ct�v:c1 <br />L�c K QL�(i �►J 1 City Dus. Lic. # pS� 3� <br />PhCre�E�„�.4v�-4�.-oy 29 �SiT�S <br />ILDING PERMIT APPIICATION �CONTRACT PRICE OF \YORK <br />cnisting Use o! Bwicina _. _ _ � HFAT SOURCE. <br />Proaosed!�seof�mltlin9_ _ _ � cas Eier,nc_ O:ne�_ <br />Bwlding type. '� Single Fam�ly _ Dupl�z _Townhouse _�dulli�Fam�ly _ Comrnerc�al <br />Type of projecf Nc�v Additwn � Remodel __ Repair _ T I_ Sign __Spnnkler __Demol,fion_ Chanae o� U <br />DESCRIPTION OF WORK /ado�5enai snace A^�'�eeu cn me eac:1 �. <br />1v�� ��rca /��...,v, Ir' L�.rNaa"� ir.,K t�tA..N 1��..0 <br />MECHANICAL PERMIT /LPPLICATION PLUMBING PERMIT APPLICATI <br />TypeofProj�ct: _New_Addn _Alte�alion_Repair TypeolProjecl: _New_Atldn _AlleraUon_Repav <br />Show Numbcr (lt) ol lirfures Show Number (p) o( frxfures <br />NC — art hantlhng umis ToCct <br />ForccU a�r svstems 13a!hWC <br />R fSUPPRESS <br />Number ef Heads <br />f3acktluw P«venter (ins�de <br />Ur,r� tl <br />Urtrkicq !'ouni�iin <br />Hcor arain — -- <br />Greax Irap -- <br />Rcal drains <br />R1e7ical Gas <br />Other � � reN ij w <br />otncr <br />I h<iC�y <ChJy I�ol I have �eu0 antl eRalnlneG Ihis appl�wl�On nno 1 now Ihe same to Ge Irve entl mrrecl. FII pmvis��ens cl laxs an0 a�dmoncCs C�nemin8lhis tyVe ol rvo�k wdl pe ccn p'� ed <br />Kq� whci�er specf etl �ernn or ral. Tlie q�ar•b�9 0l o permt decs ne1 mesume lo grve nuiPomy io vro�ale or wncel I�e pmhslen cl any other ;iate or local law regulal'm9 conq�u�7�on <br />`�at I am authon[ee �y rtie owme� ol �ni• p�opetly to petlartn I�c wnA lor w�rch zDChwlion , made and I compiy wl� t�e State Cc'draqors law 18 27 RCV� an� ]9L70�A N'nf, <br />OwnerlAuthodzod Agent Slgn. wre Dilu �Fm� seJ:C0�51 <br />