Laserfiche WebLink
�PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v�nvw everettwa org � <br />ADORESS: <br />�iI 4aM <br />IornfwwnShuChon Short <br />{ �nc �c <br />*�' ��• � <br />:RTY 7AI( q <br />73R`-1cc�Cc <br />lrn No <br />!E-mail ��,�'o, <br />ale/Lp � � I 2 C <br />a <br />latunc �ooV oi long Icgal tlesrnption) <br />� <br />1 <br />xO+mer _On+x:fsPt3ent _Contractor _ConVadorsAgent _Tenanl,-vummeN:e�mm^_,.mnomw+�iamw..-+^n <br />l,c a <br />f'hancJE mail <br />ILDIHG PERMIT APPLICATIOH CONTRACT PRICE OF WORK <br />mg Use of Buddmg _ <br />o5ed Use of Building Ga <br />ling rype. _ Smgle Family _ Duplex _Townhouse _ Mutli�Fam�ly _ Commerciai <br />� of oroiect: New Addiuon Remodel Repau T I. __ Sign __ Sprink�er i� <br />e�s ��� a <br />ESCRIPTION OF WOR K �,wa.tuna� space p�o�ded on tM� ouck) � <br />�/e .� � f�� ��ti. �+ fv f-« r �l �,s n � 1 I e�, f l� s�l r�� �-f u r����, r�c,/ ��� <br />MECHaNICAL PERMIT APPLICATION <br />olProject: _Ner+_Atltln _Allcration_Repair <br />Shaw Number M/ ol �xlures <br />Other <br />SPRINKLER <br />nw <br />PLUMBIIdG PERMIT APPLICATION <br />al Pmject: _New _Addn _Alicralion _Repair <br />ase <br />Mc7ical Gas <br />Other <br />I nnn:try rAinry ihat l �ave mnC anA r.e�mm�d I�c, ap0�+�on nnU Mu.v ttie s�me to fx Vue anC wrted. AO pravr.n�s oi Liws a�0 ertf:n.'mces p�vem:nn Nrs ry{�' a1 �+ort wdl pe cnmD� <br />x.Ji �.'u�l'uv spco9ed nemin or nol 1Te gren6ng ol a(wum:l Coes nol pmsuT„ lo grve auNonry to volLo c:_inre� ihe pm�non cl ony oltier sL�le or lo�il law mguLipnp mnsGucwr. <br />P, I am orvc7llry Ine wmcr al tlirs pmprtry lo perlorm L�c horllor xnitl� appfinlmn ¢ matla an� I mmply we� Inc SL�N Crndors law f 8 71 flC W in0 2fIB.2U(lA WAC <br />��` � � <br />:,_. ��� - s- �- is <br />Owner/Auttrorized A9ent Signatum l7�;e (Rev�sc04/1015) <br />