Laserfiche WebLink
PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3Z00 Cedar Sl , Everefl, WA 98201 - 425-257-8G10 - FAX 425-257-8857 - www everettwa org <br />APPLICATIONS ARE ACCEPTED FROM t AM TO � PM �� �- i--� �- <br />PROPERTY TA% PERMIT � I�� I � J <br />ADDRESS� , ��:�� -S `�1 �� l� � � � , '.' V/�C � ...:�.: 1��� <br />lor new mnslruction Short PlnUsuhdrv�sior� � Ljl1y;, <br />r ' i i <br />a <br />1 •� <br />� v G� � - _ � ��^, <br />� . / . ,. <br />1. W No � IetteU rApY ol lung Irtgel deyr.n00onl <br />Phone�G-mnA �• - > . . � i• !J <br />Ciry/StAt9ITp < -� .(. � J / � - � <br />LalLic p ' _. ,� .� � i1/,`%l% j�� <br />i� � PMfnelFmm� - ) •1 . � )�� • ') � �1 � <br />CONTACTFORPERMIT,';-,, ��.71�. �„w�)�.�}; ,�r�.�'� <br />i � � <br />Phon�iR� mp�l ' ' j / _) ) <br />BUILDIN6 PERMIT APPLICATION CONTRAC7 PRICE OF WORK � SC; G�� _ <br />"xi9�ing Use ol BmlA�ng __ff F;.j r�.�_-� . —._— HEAT SOURCE _ <br />�roposed Use of BuAding ______ Gas Fiectnc Otner_ <br />3utlding rype �K Single Frmil� _ Duplex _Townhouse _ Mult�-Family _ Commerael <br />fype ol prqect _ New _ AddiUon _ Rsmodel _ Repev � T 1_ Sgn _Spnnkler _Demo�ihon_Change o� Use <br />lesr.nplinn ni Work (eddrtmnx/ sp�eOr�vMed w Me 6ecN1 / <br />: . , . •� !• /,�� + �� � � � <br />/ <br />iave you slart�xl working without a pe/mil9 ___.YES �NO <br />MECNANICAL PERMIT APPLICATION PLUMBINa PERMIT APPLICATION <br />fype ol pro�xt: _New __�Atln ._Allerellon _k�Repelr Type ol ProprcC _ New _�dtln _Alleretlon _Repelr <br />Show Number (NJ o! flrturae Show Number pq o/ /irNres <br />A�C - au handhn unds _ Todel <br />—T f orcnd an svslems Bathlub <br />Cl�dhes dryc <br />Nanaelmed <br />IIPdIPI <br />Olher <br />wa5her <br />Unnal <br />Medicei ras <br />Other <br />Olher <br />I hnreCy �xrLry I��a� i havr �ean a��� ^•am�nM Ihis aVD���Ada� nn�f knrnr Ine� s�r M tr� a�tl careQ NI pmv�sionn ol lev.a e�d adiner+ces govammp <br />Ihi5 lype ol MorM Nnll be Com�diY,A wl� xfielhei SpafiM1eA Mie�n of noi �he prpnu�.e m r xrmn tloes oo� prceume lo prvo eNnonty to valale o� cancei <br />MC poweron ol eny dher s1Ate or loral IwW rlpulelup [Of1lUuttidl a Me pellormerK! �f CtMlbuCLOn Th9� � am BN�OnZ[d Dy t�e t�nP� nl U�s D�o{+erry <br />la peAorm the � Iw whrli eppliplhpn is meAe arb I cpndY �+th Me Slele ContrBdds isw 7B 77IiCW n�tl 795 1�10 WPC' <br />i <br />� � . ! , ' ) � % ) / . <br />OwnrrlquthnrixeE Apanf 91g:�e1:•re / U, te � lRensM ??0 f �) <br />