Laserfiche WebLink
��MIT APP�LICATIO� <br />BUIL�ING/MECHANICALIPLUMBIPJG/SIGM/SP�INKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, :^/A 98201 425-257-8810 FAX 425-257-8857 www.everetiwa.org � <br />5��37--i5 <br />E ADDRESS: � <br />i'LSOS 2fSf (,1Je SC <br />Iornewcon5iruction� Shoh <br />bS 21 � <br />PHOPERTV TA%k <br />Lol No . <br />Phcne/E�mad <br /># <br />(attach coDY ollong legal descnpuon) <br />?LICANT:__Ovmer _Owner'sFgent �Con�rac�oi _CanlractofsFgem _ienamnn�:i,,,o:�aea�ene�am•.,emnomm�o..�.�iom..o�����nr <br /># <br />ga <br />,, <br />� <br />Bus Lic # <br />BUILDING PERMIT APPLICATION ICONTRACT PRICE OF WORK � S2'�S <br />E.isling Use ol Buddmg HEAT SOURCE: <br />Proposetl Use ct 8uildmg Gas eiectnc _ Oiher <br />Building type. �, Single Family _ Dupier _Townhouse _ PAulti-Family _ Commercial <br />Tvoe of eroiecL New Addilion Remodel Reoair TJ. Siqn Spnnk!er Demolihon Charge of Use <br />DES C RI PTIO N OF W 0 R K(aadiho�ai :pace plov�ded en me �acx) <br />�1ac1��� -r1�Q �ov�d�-iio�i��J -�a ��s-4i� -�;R.r�e,�. <br />MECHANICAL PERMIT APPLICATIOFi <br />of ProJect: _New � Addn _Altoration _Ropalr <br />Show NumDer Nl �l /irmres <br />1 NC — air handlinq units <br />hcater <br />�an <br />healer <br />SPRINKLERISUPP <br />� <br />PLUMBING PERMIT APPLICATlON <br />Type ol Projecl: _New_Addn __Alteration _Repair <br />Olher <br />Olher <br />Gas <br />I��y uunily Ihat I hav� ieaa antl eram�ne0 N,s ap0l�caiion aM know Ne same to he true anA wuect. Ali O�o��sions at law, and ardinances goveming I�is rype ol work w+il he co��0 <br />h ieme� pEaR heroi oi noL ihe gianurg ol a permA does nol piesume lo gne aNhonry io vioNie or rancel �he orovcsion ol any oNer state or Iecal law reguWiing conslrucean <br />t I m o e ol i�a O�o` perty to petlOrm I�e vrork lor wh¢h apey���on is ma0e anC I compy wM Ne State Con;ractors Law 1827 RCW anC 296.700A WAC. <br />U �-� 5 2 I� <br />Owner uthorizoA Agont Signaturo Oaie (Revisetl �2015) <br />