Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everetN+a.org <br />!1 w.= <br />lor new [on5lruction' S�Ort <br />RTV TAX N <br />�cqnov�� <br />�ot No <br />a <br />(anath wpy of Iong legal descnption� <br />�tis-� <br />� <br />�Owner _OwneisFgenl _Cont�actor _Con7raqofsAgent _ienznlfmm�m=�+aoe�eve�oirc�sem�r:,,,;nac.��roco.on��e�ceca� <br /># <br />Nd <br />BUILDING PERMIT APPLICATION <br />PRICE OF WORK <br />�'!seof0uilding ftS�t�L�•� � <br />�dUseo`8uilaing �t-w ft��c4n4 "^'tc �^"•�y <br />� lype. _ Singte Famdy _ Duplex _Townhouse _ IduiU-Family _ Commercial <br />pro�ect New Add�hon Remodel Repair _ TJ Sian _Sprirklei <br />RIPTION OF WORK (aoc,hrrra� space!'roud�d on fhe Da:kl � <br />Otr�o�i�. fr�s++..� 1.onn(..� <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Allaration _Repair <br />Show NumberlN) al llrfwea <br />Gas <br />Olher <br />lieads <br />�us Lic # <br />HEAT SOURCE� <br />of Use <br />PLUMBING PERMIT APPLICAT <br />TypeofProjecl: _New_AdCn _Altcration_Ropalr <br />Sbow Number (M) ol li.fums <br />Medical <br />Other <br />was <br />I Fereby ceroty �na� I A.^ve read anC e.aminea In�s apv�iw�ion an7 Mnow Ine same to be Irae anE corred. An pmvis�ons cl laws an0 orainan<es goveming Ime lyre o1 work x+:l be wmpbeC <br />wnn wneiner spe[dicd nercin o� nol TAe gmnimg o1 a oertnB tices nol pmsume to grve aulnonlY �o viola:e cr cancel the pmrision ol any oLher slale or lovl law regWatinp fpnslNqion <br />Tbet I nm authontea Oy I�c owner ol t�ls pmplM �o petlortn Ne woA Icr v.Mc� app��wupn Is ma0e an01 cemply wil� I�a 5!ate CONmtlors law Ib P RC1V onE ]9ti 200A WAC <br />/� I��7��� _ "...._. <br />Owner/Au�horizedA ont5lgnaWre Date (Rerisedd?073) <br />�I <br />