Laserfiche WebLink
� <br />0 <br />PERMIT APPLICAT10�9 <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRIi�JKLER/DEMOUTlO�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., EvereU, WA 98201 425-257-8810 FAX 425-257-8857 vnnv everethva org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />_ADDRE55: �� PROPEft7YTA%11 P 111Tn <br />izboz i8 l:r. SL` Fvlivlf 4�OSl 7RhS�nnn�;nl7_0� ��1�1���n�? <br />tm ne;; ccns:rua�on. snat Piavsuco�,�s�o� T�i or+ v� Lot Na _ <br />,Q 5Q _ (attacti ccYi ol Ip�g b_r�al tl=scnphon) <br />(LC �Pnane!E��,nl <br />/ <br />��ss 99Z0 3/=� /j✓/. St` �c�rvrsia���zm E✓f/.( 1f h/�i 98Z0�' <br />�LICANT: �' O.vner Ov:ne/s �genl Cenlracte� COMraclor';Ar,en! Tenant fm=;imo.a��trc,:rz��s�m�:��r,:..�,.�>e_..,�..,v�sr..:.�� <br />NTRqCTOR �v��/p� KKl K�a I L& I Lic # �o�c% KQ 9/ Z M N COE �us Lic p <br />ross �l4Z0 �/fF J�✓�. SE' E✓F/Y� �i�Z06 Pnc�c �m.�.i �75 �'7� /I i 0 <br />BUILDING PERMIT APPLICATION <br />� �I' � <br />PRICE OF WORK <br />ng Use al Bwlmny �pl _ I <br />rsed Use of Bwitling Si%� C <br />❑g typc� � Single Famtly _ Duplex _Townhouse _ PAWti�Famity _ COTT=raal <br />of pro;ect _� New Ado�fon Remodel Repair _ TJ Sign _Spnnkier <br />CRIPTION OF WORK (acart��nu� sFace pravided on me Ouch) : <br />O � Sf -' S�� <br />� ay � <br />�as� �. so� � <br />MECHANICAL PERMIT APPLICATION <br />TypcolPro�ecC ,�New_Adtln _Alleratlon__Repair <br />SM1ow Numbcrla) ol lirtures <br />�If <br />Unit heater <br />Othe <br />,�� � o�-oc�I <br />of Use <br />PLUMBING PERMIT APPUCATION <br />olProjCCC �1Jew_Addn _Allcraiion_Repair <br />S�ow Num6er iul alliiiures <br />L <br />shwasher <br />Medical Gas <br />Olher. <br />i �ere�y cen�ty t�al I hava rea0 a^�4 e.am�.nea �na a00'^w•.:on ana xnow t�e same m Co lme an0 corteci AllOrovisions ol taws nnC ord�nao:e; cwemnp t!i �s p�e ef worh vn] �e cemp•�ea <br />r,nn v.net�er speufie hercin or nol. IDe pr:� bnp of a pertnl Eoes noI pre5ume Io Pive aoinonry to no�alo ar cnnccl I�o C�celsan o1 nny ot�cr slaie or Iowl l�w reBWaIInO conswr.mn <br />l�al �i am,�w�onze y t�e ownei ol iN; p eM �o penarm i�e woh mr nmm� appllwtion is maae an0 i cerco�� �vtn me 5ta'i ^onvuclors Ww 18 27 RC W and 29fi 200A wAC <br />.-..i�_ 7 Z / � I � <br />Owncr/Au norizetl Agent ignaWre � Date (Rev�sed 6i707?) <br />