Laserfiche WebLink
PERMIT APPLICATIO� <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S—� 3— I� <br />ADDRESS: <br />br new conSlmUrorc. Sho❑ <br />Ruth Mosman <br />I �30 S lst P <br />vaoreisrr tnx a <br />W. Evcrett. 4VA 98203 00792000002300 <br />No. 2�_ (allach ccpy ol long legal 4escripiion) <br />12�-319-361U <br />F.vcrett, VdA 98203 <br />_Owner � OwOCfSAJCnt _CO�1f3CW� _COnItdC�Of'SAtJCnI _TCn3ni�nus'.wc.ceeevereiw�semrvanvac•�.racar+nPeso�cei <br />LBiLic # <br />BUILDING PERMIT APPLICATION <br />Ews�ing Use of Budtling <br />L�c a <br />nis Titus, PG SF. - CG ]atgineering <br />778-8500 /dcnnist(�cecneinccrine <br />PRICE OF WORK SS�,OOO <br />Praposed Use of Budd�ng KcSt�enCe IV �_ <br />Budtling tyce. � S�ngle Family _ Duplex _Townhous=_ _ Muiti- amdy _ Commerual <br />Type ol projed New Addiuon X Remodel Repair _ TJ. _ S�gn ___Spnnkle. <br />DESCRIPTION OF WORK (add�tionai space prowded on rne �aca): <br />T <br />Otner <br />Proeidc structural dcsign for basemcnt and foundation. <br />lAhYeY}]ny C faW I SFace � bcuen�� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Typo af Project: � New �Addn �Altoration � Aopai� Typo of ProJoct: ,_Q,New �AdAn �Altoratlon �Ropslr <br />Show NumDcr (N1 0! /irfures Show NumDcr (N) o/ (irfures <br />— air handlmo unds <br />air <br />h0od <br />mt <br />SYSTEM <br />Number of Heads <br />Floor <br />htedicat Gas <br />Other. <br />1 neieby ce�dy �hal I have rcaC and mammed Ihis avO��wLon and know IFe same :o Ce true an0 coReC All O�ovisior.s o' Iaws an� o�Cmances goveming Inis type ol woh xT,l 0^ comC��eG <br />wifn whetner speWieC �ercm oi nol Tne granlmg ol a permi� does not presume m gne auIDorly lo violate oi cancei the omwsior ol any oi�er stale or low! la.. regulai ny consimci�on <br />Thal I am autnon:ed �y -�,he owner ol t�is prnpeny to petlorm i�e woA lor w�¢� appLca:ion is maEe antl I compiy wtth t�e Siale Contranors Lnw 18 27 RCV1 ana 29G 740A WAC � <br />� � <br />� .�.� ,� � y r e <br />0 n9dAuthorized Agent Signaturo Date (Ro�isetl � i2012) <br />