Laserfiche WebLink
PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedsr St., Everr.tt, WA 98201 425-257-8810 FAX 425-257-8857 www.evere� a.� r� _� � <br />� qPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �" <br />c PRUPEHTV TAX p PERMIT # <br />ADDRES�'nl/ �.9� �L S l t �i ; � 1'� <br />fornewconsWction: Shod <br />_ Owner _ Ownefs Agent _ <br />=J/ v., � (/� <br />i �-1 �7 <br />BUILDING PERMIT APPLICATION <br />UseofBuilding /LFs� <br />No._ (attach copy oilong legal description) <br />�� yz,i--�C�� �l%� <br />COf11fdC�OrSA<JEIII _TE�dtl�(mu�InrovqeakihrolconsenttromPecvmttloEoxo:kinNospxe) <br />L&ILic.# ' L�-1\ CF a� <br />CrM1'�%1 Phone/Email .L,il�?� <br />I I'�'^ l �LJn/`� _ <br />PRICE OF WORK� <br />d Use of Buil� � T ^ �-- <br />type: _..' gleFam� _T���nhouse _Mulli-Family _Commerciai <br />...:nLl�a <br />DESCRIPTION OF WORK (additional space orovidaC �n rhe back): <br />K fl�C�o cN C'.�..,v� t.�—_ <br />1(f;°n�•z :� 43�7cn 1Jr`ail��,• <br />MECHANICAL PERMIT APPLICATION <br />of ProJecl: _New_AdJn �AlleraUon _Repai� <br />ShawNumbnr;p) nl/ixfures <br />uf <br />PLUMBING PERMIT <br />Other <br />LICATION <br />o1ProJecl: _New_,_Adtln _P.�leralion_Repalr <br />Show Num6er (#) o/ flatures <br />Olher: <br />Other: <br />Gas <br />I hme�y certHyUlai I Oava reatl and examined Ihis apDf�atkn and knmv iha so no lo �o huu onG cortecl. All provisions olWwa ond aN'�nences govembg tlile rype olwrork vnA Ee compfietl <br />wAh wheNei speci(cd �erein or nol. The granting ol a pe(mit tlocs not pmsumo lo grvo auNonry to vi�tale orcnncelNo pmWsbn ol ony olhe�sta�e or lowl lawregu�ating conSVuction <br />T�atlar�'nu0i iz�dbytAeawnerollhispmpeM�opcAortnl�eworklorwhk�applicatimismedaenClcompywahlheStele!onVadorsLmv1P.47RCWand295,2WAVJAC. <br />� ; / <br />/� ���- 031;�/i� <br />OwnadAuthodzod A�jent Signature <br />Date (Revised N2012) <br />