Laserfiche WebLink
1 LI\1\111 A/ 1 I��Vl1t�V�• <br />BUILDINGIMECF' VICAUPLUMBINGISIGNIS'"',INKI.ERIDEiVIOLITION <br />CITY OF EVERETT PERMIT SERb,.,ER <br />3200 Cedar St., Evereii, WA 98201 425-257-8810 FAX 425-257-b857 �wwv.everettwa.org <br />� �aq`i5 <br />: ADDRESS: �ROPERTY TAX d PERMIT b <br />29d�, q"�' �� ooys92•oo�0000v �m s� -o � <br />Ip new tonstmqion: S�orl PlaVsubdivision � Lol No._ (atlach mpy of bru� Icga1 dor.crlption) <br />t �UL��L�%T /70�1�/�(� /iU%ry0�� PhoneJE-mail / � ���0 , � � � <br />�o fDX �.5��% Cib15WlrILP E7.f`-i��T% Lr/�I �Z�I <br />,PPLICANT:,�Ov.ner _WmofsAgent _Contrador _CmVadorsAgent _TenaN��no�•seo«dm+.�+n�mu+.ow^e�moo'.o�nu,^�oa <br />;ONTRACTOR /9NOGA�Q sc�ie uc. tt fiCst� �9 io 1 Z c� s�9. ua u <br />�d��g P�onMEmail <br />fENANT8U51NE5SNAME � CONTACTFORPERMIT 9ND�j� �7FLT�F <br />�,CfJ/�'��/�v'� PhonM[-,nail �� Z �7 l��3 — �E" ' <br />[iUiLDING PERMIY APP! ICATION CONTRACTPRICEOFWORK_��DO, � <br />Exisling Uso of Building s/�i� HEAT <br />.J Fj� / <br />Proposed Use o1 Building _ Gas FJ <br />Buildingtypo: _SingleFamily _Duplex_Town�ouse _Muitl-Family _Commercial <br />OF W ORK (adaitlonal spaco p.tivided on Ihe back) : <br />�'e�l�c;e, �'�,�-�ace� <br />MECHANICAL PERA7IT <br />ot Pro�ocC _Now _Addn � AlloraL'on _Rapalr <br />Show Numbor (C�flzturos <br />—� A/C — air handlina unils <br />NKLER! <br />STEM <br />PLUMBING PERMIT APPLICA710N <br />o1ProJacL• _Now_Addn _Altorotlon_Ropalr <br />Medical Gas <br />Olhcr. <br />� �proyy wrN r Nx'.I Aavo mod nn0 awminoC Nb appllnlbn ond know Nn same lo Ea truo and cortoctl�7 D�`�'�°^9 ^� �'^V° �^0 on;lna�coe govominO ll��e typo otworlt w9 0o cor <br />w5� whclnar a�o, noroN or nol Ti�e granW B of a OormN dooe not pm�umo to yNo aulnorLy io vb�ve or nnul No prwtrJan of my oNor alato or �ocil L�w mpu�tlng concwctl <br />Tl�atlamnutho �� yNe arofNUpmperlytopartamNormrkforvrt:MapP�atlonbmaaoondlwmpHvAt�NoSia�eCmUodomLawtB.17RCWonC20B.700AWnC. <br />� 7 6 /S <br />OwnedAuthoAzo Apen[Slpnaturo Oato (Rovlsoda/2015) <br />