Laserfiche WebLink
� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLER/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 />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM s- aG � 1� <br />•�r.eecc. PROPERiYTAXp PERMIT• _ __ , , <br />9 (� I i -V _ .. G�;� <br />for new construction: Shorl PlaVsubdivision Lot No._ (a�tach copy of long legal description) <br />� � r_<y ` l v� �es-tirn.c <br />� }�n - \� ,-:� Y (�;�_ PhonelE-mail K 2 v� ' �v H �'i � � � � G <br />.7 �a C�. Vz S�Z' <br />-t <br />w %�C <br />l�zS—Cu7C o�. <br />TENANT BUSINESS NAME - ' / CONTAGT FOR PtKMI I \ y Z 5� y 4 S-S �.� c., <br />V �� CV �1 Sii�1'�UG`J ��ISr.I�onn�ACL�CC)•. <br />PhonelE-mail � <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK _ �6 � v`�' _ <br />Exis�ing Use of Building _ HEAT SOURCE: <br />Proposed Use of Building ___ Gas_ Electric_ Other_ <br />Building type: _ Single Family _ Duplex Townhouse __ Mulli-Family _ Commercial <br />Type of projecC _ New _ Addition _ Remode� � Re�air �T.I. _ Sign _Sprinkler _ Demoli�ion_Change ot Use <br />Descriplion of Work (addifional spaco provided on fho 6ack) : <br />Have you started working without a permit? _YES _NO <br />MFGHANICAL PERMIT APPLICATION <br />Type of Project: _Now_Addn _Alloration _Ropair <br />I <br />of Heads <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />of Projoct: _Now_Addn _Alleratlon _Repalr <br />Shuw Number (M1 0/ /lxtures <br />Medical Gas <br />Other; <br />Other: <br />I here6y certify that I have read and ezamined Ihis applicalion and know Ihe same to be Irue and correcl. All provisions d laws and ordinances govemin9 <br />this type ol work will be complied wi0i whether specified herein or not. Tho granling of a pemiil does nol presume fo give authority lo violate or cancel <br />ihe pmvision of any other stale or local law regulating construction ur Ihe pedonnance of construction. Thal I am aufhorized by lhe owner ol this propetly <br />to perform Ihe work lor which applicalion is mado antl I comply wilh �he State Contraclors Law ?8.27 RCW and'e96200 WAC <br />� <br />"�'k�.\ . i �_ .,. � S_�.Z (c '- Z C i I <br />arlAuthorizod Agont Signaturo Oate (Revised711077) <br />