Laserfiche WebLink
� <br />� <br />PERMIT APPLIGATION <br />BUILDINrIMECHANICAL/PLUMBING/SIGN/SPRIN�(LER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98'201 - 47_5-257-6810 — FAX 425-257-8857 — wvna.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �` aa ��� <br />°l � � � (�i(� G��'�� � <br />TA% p <br />for new construclion: Shotl Plal/suhdivision Lot No. (aitach copy ol long legal descriplion) <br />PERMIT APPLICATIS'.A <br />Use of Bui�ding <br />ione/E-mail -IZ� Z�i�(7• %iC1�K/ <br />ly/State2ip � VwrL I l�/� rl D wi <br />8 I Lic. # C� �(/1 ' I L4 � <br />�� PhonelEmail —I� "-'7 Z�L � ( b �' <br />� 2� 2 <br />PRICE UF WORK <br />HFAT SOU <br />Z2 <br />�sed Use of! yBuildmg L ""' �_•"",'."— " — <br />ng type: !�Single Family _ Duplex _Townhouse __ Multi-Family _ Commercial <br />of projec�: _ New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />ip�ion o( Work (addilional space provided on the bacN): <br />(j�� fv� \l(/7���l S � tnU (� O�,�Q V, ii-�'�✓ U'(,Q, - <br />you slarted worMng without a permit? _YE� NO <br />MECNANICAL PERMIT APPLICATION PLUMBING PERMiT APPLICATION <br />olProjecU _New_Addn _Altaratlon_Repalr <br />Show Numbcr (q) ollirtures <br />air <br />Gas <br />Clothes <br />Other <br />/ SUPPRESSION <br />Number of Fleads <br />of Project: _New _Addn _Alteration `Repair <br />Show Num6cr (H) oI /ixfures <br />Clo�hes <br />Grcase trap <br />Roof drelns � <br />Metlical Gas � <br />Othcr <br />Olhcr <br />I hereby ceridy ihal I have iead anc examined Ihis applir.alion and Anow Iha same lo be Irue an� corred. NI pmvisians ol l. ws antl oidinanr.es yoveming <br />Ihis typr, ol wnrk will be cornplieU xith whelher specifieU herein or nol. ihe yranliny ol a pennit Joe, nol presume lo yive authonty lo viulate or cancel <br />Ihe provi:ion of any olhar slate or lor,al law regu.alin, consWction or I�e pr.dormance of constmction. (hat I am au��oiized by Ihe owner of Ihis properly <br />lo pedorm Ihe woih which application is mad andl compl w�in m� si,�e com�T��o�s i.a��� ie.z� fzew ���a zes.zoo wnc <br />OwnedAutHorizcAA ent5 atu Date �� (RevisedY1011J <br />