Laserfiche WebLink
t <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNlSPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX A25•257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />iITEADDRE55: � } � _.�yL`_� �✓L PROPFRTYTA%q PER�IJIa _ . 1 <br />La� Na. (allach capy ol loog legal desrriptian) <br />.EGAL lar neN' cnnslrucl��nn S�ort PlnVsubdivisiun _— -- — <br />)WNER S� � NA7v/1�{ P:-0n'7t� -- — Pho�e�E-mail 4�25 ' 3Z/ - S b S 5 <br />q 9 S'•'S'Z <br />WJress /- ['' /�i0 yC / L l7 {� GtY'State2ip M�LL. i.2LZx, w'9' <br />� _.�ic,v�denk � ..�•'�po- . .••,•cu�.r. ro.s�r.i <br />1PPLICANT: Ov.ner '..:ier's Agenl -� Cuntrnc�cr Coniractor's Agent _ Tenani � - <br />:ONTRACTOR /�O/ / . d�/ /'�-�> »� ��-(. ��t- L 81 Lic. k!Zp�j/ NP �-'t7 2� L COE Bus. Lic. = <br />iU,°°u C� <br />�ddress )�4�3>l'i� �l`E17 �✓c .t.•d� .4,�'c��.-CNN Phanu:Ema�l ,3 v VJ -�Y4Z O�vulc.-.c �n� <br />fENANT BUSINE55 NAME CONTACT FOR PERMIT _ <br />�-L�N /2-C"�f,Ri.....]�`.�_f=-L•�iy��c <br />Phnnc6rna�l <f2 $' Sv Y" 3 Y 5 <br />BUILDING PERMIT APPUCATION CONTRACT PRICE Of WORK ' E� /v U — <br />HEATSOURCE�. <br />Ekisting Use of Budding <br />Proposed Use o( Building 5`�` Gas_ Electnr._ Other__ . <br />Bwlding p�pe: �Single Family _ Duplex _Townhouse _ Multi-Family _ Com�mercial <br />Type ol piojecC New Adtlihon Remodel Re air T.I. Sign VS rinkler �emolition Change of Use <br />DESCRIPTION OF WORK (ndedionalsnacnpmridenon me backl: <br />,Nsna« <br />i=c-or.✓ S7�I�2u.� E�d r-�k'c Sr��'.t;e c�.��C JYSiZ-)-J� cvi: t/ <br />3 3 �1t' r1�7 S i.�� �c.��-a.r- S��' <br />MECHANICAL PERMIT APPLICATION PIUMBING PERMIT APPLICATION <br />Typc ol Projecl: � New _Addn _Alteralion _Repair Type o1 Projec�: _New _A Itln _ Alteralion _Repair <br />ShowNumber(M)oIlirmres _ ShowNumber(pfallirtures <br />C101hes <br />Backflo�v <br />Afedical <br />Other. <br />'y':, � NumLerolHeads vu�e�. <br />. i, � I.+��i ��i.�.n i� i�� I.. nJcoim�LAllpmvisicnso�lawsanifot �.�•s4uve '�Ist�tecl nxwJ ii..�-.neJ <br />.�..,y.�_ry.� .�.-,i �rr9inrz9rpnlr�pcl ptnttltl.ns otpri;u��ta�� �_',����vlovolalemc0n[el��e0rov5qnoldnYORerstaleol.�Ilaw�e9ult9const�tlmn <br />, i. , ambo�¢rA t.y �.bc rrv.��er �I I^ s pmnetly In pedorm I�c woiA ler nnrh apol��:aiar. ¢ r•a�c antl I mmp1Y wM1� t�0 Slalc Conlraelore LAw tA'.� RCN ane 29fi200A WAC <br />.. . 1..� 1`�"��\ J/ �I✓ <br />� /���3 <br />O'�S'FiedAuthorized Agunt Signaturc <br />--�— �a��;sed � �z�,�, <br />