Laserfiche WebLink
�ERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��I a�I� <br />ADDRESS: <br />lor ncw :.onstmaion Shon PlaUsubG�vis�on <br />TN( tl <br />PERMIT <br />_Lot No._ _ (attach copY of �ong lega� des[npiio�) <br />_ Owner _Owner'sAgeni �Con�rtcior _Coniratior'sAgenl _Tenanlu+�-�wor�aoa�ecero�:cn;rm��ommecw�er�oac+.�nu,mesc+�ei <br />8 I L�c. # <br />Phonc/Email <br />��-1:..�'�.l.J� <br /># <br />Nnone; t �ma�� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �\,y4,a •UQ <br />Ex�sGng Uce of Building HEAT SOURC[. <br />PropoSedUseo�udding Gas____ [lecum_ Olher _ _ <br />Bwldmg type� Single Family _ Du01e/X 7ownhouse _ MultbFamily _ Commercial <br />7vne nf nmiect New Adddion ! Remodel Reoair TJ. Sian Sorinkler Demolibpn_ Change ol Use <br />DESCRIPTION OF WORK (adddional sU��� Prowdedon fne nacwl: <br />\-c����\\ o�a� �`x,t� <br />MECHANICAL PERMIT APPLICATION <br />ot ProJecl: _New _Addn �[Alleration _Repair <br />—avt <br />ed air <br />of Heads <br />PLUMBING PERMIT APPLICATION <br />o( Project _New _Addn _Alteretion _Repair <br />Shaw Numberlkl ol fixtures <br />Waler <br />S�ak (� <br />Olher <br />Fount2in <br />I I�emOy ce4�'y U�at I pm�e redtl nnd e.�mine�f Inis apPbcal�on and Anow Ilie same lo �e in�e antl co�ect F�I prov�sions o� �awti am o'd��ances goveming 9�� �pe ol wvM w �I be comp6e4 <br />wID vrtielher sVecd�ed nere��n ar not Tbe g�nung ola Oertnil0oes noi D�esume lo gi.e authonfy lo vql�le o� cancel Nr Dmca�o� cf any oIDcr s0�1e o� bcal4iw mgu�Lnqco�Jnid�on <br />T�a� I nm aul�oruetl � r. owner ol l�is pinPeRy lo peNO� I�O woA fo� wliK� aOD��rdtmn ¢ ma0e and I comply w�t0 I�e State Cnnvdcmrs Law t 9 2i RCW d�tl .'9G :OOF W AC. <br />� 5�11�1° <br />Ow rlAuthorized Agent Signaturc Date l���ised 6�20111 <br />