Laserfiche WebLink
R� ' <br />PER,NiIT APPLICATION <br />BUILDINGIMECHANICALIPLUMF3INGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., [vere�'., WA 98201 - 425-257-8810 - FAX 425-257-8857 - v�vw.everettwa.org a(_(/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />b � <br />I`/{� PROPERNTAXM PERMIT I I V^US/ <br />ADDRESS:'�,,�III I4,� \� HIP�i'tS IA�-% . ' <br />for new constmclion: Short PlaUsu6division I.o1 No._ (allach copy of lung legal descriplion) <br />.. � . . � . _ _ .. i � 7 L ZlI�J .— � /"1 �/) <br />CitylSta�elZip � <br />������.#S <br />P�. <br />ING PERMIT APPLICATIOPJ ICONTRACT PRICG OF WORK <br />Use of Building <br />� <br />EAT <br />proposed Uee of Building ` - <br />Building type: X Single Famity ,_ Duplex __Townhuuse _ Multi-Family _ Commercial <br />Type of project: � New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _.Demolition_Change of Use <br />DesCfip�iGn of Work �additional space provided on fhe back): <br />�' ,-�� C ��eclv� �� <br />' V�.�� 1�1-� <br />-e1��1� <br />Have you started working wiihout a permit? _YES �NO <br />I PLUMBING PERMIT APPLICATIUN <br />MECHANICAL PERMIT APPLICATION <br />I7ypo of Projece _New_Addn _Alteration _Repair Type of ProjecC �.New _Addn _Alteration _Repair <br />cn�w w�mberlq) ol (ixtures <br />Other <br />NKLERISUFPRESS <br />FIoOf <br />Medical Gas <br />Olher <br />� NumberofHeads � Other <br />I hereby cedify ihat 1 have read and examined Ihis applicalion and know Ihe snme to be tme and correct. All provisions of laws and ordinances goverNng <br />Ihis type of �vork will be complied v�ith whelher specifed hemin or not. The gran�ing of a permit does nol presume lo give authority to violale or cancel <br />the pwvision of any other sta�e or local law regulaling constmc�ion or the pedormance ol conslmction. That I am authoczed 6y Ihe owner of Ihis pmpedy <br />to pedorm the work for whichlapplicalion is made and I compty with Ihe State CoNractors La:v iB27 RCW and 296200 WAC <br />//'' �� jZ.1 � l l <br />1 ���.`"�.. � �--r'`� ., � (Rc-viseav2o,if <br />OwnCrfAulhonz:d A9ent Signaturd._ <br />Dalc <br />_� -,.s <br />—ci � <:— ..— �_ . .�a.+ ._�"'aai�'aw'�'"a=K <br />____.�r+�.'—_. <br />