Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org _ <br />$T <br />TAl( p <br />3 ��6-I <br />PERMIT p <br />lor new constrvction� S�ort PlaVsubdivision Lol No._ (allach copy ol long Iegai Cescription) <br />l JOvnOU�Q�,J Cant-rac�rS PhonelE-mail ��25'fj%(J'%2�� � <br /><'71'1 i�la��.a�ir A�r Cily/51ate2ip Euvc{-}- �Q ��jZo3 <br />�Owner _Q.vnersAgenl _Cenlrador _ConiradofsAgent _Tenantlmusi�v�naoaien�roiconsor.iaanvoownerroao,c�xnNosoawl <br />�R .1oc�naViC� COAi-fcG{c�$j L81Lic.# SOVNQCI.,9SII��OEBus.Lictt <br />2�"1 tilAr <br />LDING PERMIT APPLICATIOId <br />Existing Use of Building J t- �� <br />Proposed Use of Building S�' �� <br />Building rype: � Singte Family _ Duplex _Townhouse _ Multi-Family <br />Type of pro�ecl� Ne�,v Addilion � Remodel Repair _ T.1. _ <br />DESCRIPTION OF WORK (aCdinona� space provided on the backi � <br />Tv�SfA(1 IUev G-AS Fur��cc d(Z�P;Pe <br />MECHANICAL PERMIT APPLICATtON <br />o/ ProJocl: �New _Addn _Altcratlon _Ropalr <br />Show NumDer (M� o/ firtures <br />hood <br />Heads <br />�lZi'87U• 7Z�17 <br />OR PERMIT �A {—F �j2C IC <br />�IzS- 8���• �2ti 1 <br />PRICE OF WORK 3�� Z, O60 <br />HEAT SOURCE: <br />Commercial <br />��w- p� Pe5 <br />Other <br />of Use <br />PLUMBING PERMIT APPLICATION <br />o1ProJoct: _Now_Addn _Altorotlon <br />Show NumberlNl ol rrtures <br />Medical Gas <br />Olher: <br />Other. <br />I �eie�y ce�rty Nat I �ave reaE an0 examined Nis applza6on anU know IOe same lo Ce Irue ana corted. hll provisions W lav.s antl cbinan[ee Beveming I�is rype ol work vnll De mmpSeE� <br />wCh wrclner speu'irE herein o� nat. ITe gmnhng ol a pertnn dces not presuma to ghe aul�o(ity to vioWte or wncel Ne pmvisbn a( any otAer stale or local law regulating ronsWnion , <br />That I am aul�oriaeC Dy Ne wmer ol Nis r penyleQ67Cnn IOa woA (cr wnk0 aDD������ �� matle anG 1 compy wM I�e State Conlreqan Law 18 27 RCW entl 296100A WAf.. <br />OwneNAu�norizodAgentSignature Date (Revised32013) � <br />