Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FA:. 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Q�� <br />ADDRESS: PROPERTYTA%p PERMITi <br />�/o l,_/..,/.:`,�cc �7�j�1p3-ao� <br />lof neW Con5lruCiion: Shotl <br />., ��J � � � <br />)ING PERM T <br />Use o( Building _ <br />d Use of Building_ <br />Lot No._ (attach copy of lonp lepal c <br />i cJ '/ <br />� Phone/E-mail !/�S � ,�sj — � %'6, <br />` v� C. City/Slale/ZiP i �i.�� <br />�ai��o.a <br />PhonelEmail <br />CONTACT FOR PERMIT <br />�/ii'/� P�one/E�mail C�� � .�)/�� <br />APPIICATION <br />PRICE OF WORK "� � {�(}� �" <br />HEAT SOURCE: <br />ng type: _ Single Family _ Duplex _Townhouse _ Multi•Family Commercial <br />ol project: _ New _ Atldilion _ Remodel _ Repair _ T.I. �Sign Sprinkler _Demolition_Change of Use <br />riplion ol Work (uddihonal space pmvided on �ha buck�: <br />you started working without a pertnit? =YES _NO <br />MECHANICAL PERMIT APPLICATION <br />aiProJoct: _Now_Addn _Altontlon_Ropalr <br />Show Numbc� (NJ ollixturcs <br />I NC _ air handlinn unile <br />✓ <br />Number of Heads <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />01 ProJecL• _New _Addn _Altentlon _Repalr <br />Shuw NumbcrlN) of flxtures <br />Medical Gas <br />Other: <br />1 hereby certi!y Ihal I have iead anJ examined Ihis application and know Ihe same to be Irue and wnecL All provisions ol laws and ortlinances goveming <br />Ihis type of �voik will Ue complied wilh whelher specilied herein or not. T�o granling ol a permil tloes nol presume to give authonty to violale er cancel <br />the pmvision el any other slate or local law re9ulatinp construction or Ihe pedormanco ol construclion. Thal l am authonzed hy Ihe owner ol this propetly <br />lo pedorm I�ie work lor which appliC�tion is de and t comply with li:e $ta�e oniraclors Law 1 B27 RCW and 296200 WAC ,� / <br />\ / � / <br />I / __- �� <br />K'/�=� : ! � l <br />.�/' \ <br />OwnaiAuthoriz A ont8lgna�uro Date (Revised7R077) <br />(_�' � <br />