Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGlSIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ai � t n�unr.so: � <br />,�y,�u /l�S°'" /'/ S�- <br />LEGAL lor new conslrucUon. Short PlaVsubdivision <br />OWNER I"11af� I �1 �f�vner s <br />ndJress,����(� ��. �'� -� fC <br />rnuroecrnoll�i,.0 I„�.,.. h �v��.�. <br />��< <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />J L•n 2 <br />r rax a I q�r�n+ir pl D <br />�►�< < <br />>� No _(ellach copy ol long lepal description) <br />�ail ���� - J n � '� ) � � <br />zipC�)<�r�,�, �7b��S <br />�a •��w��l�ll►u(n�t3l�l� <br />ionaiEmail y���3�,7-,y�y <br />T FOR PERMIT <br />IPII <br />CT PRICE OF WORK <br />HEATSOURCE� <br />Pmposed Use ol Duilding � Gos E�ecUic O�her <br />[3uilding type� �Single Famdy _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type ol projecl � New _ Addltion __ Remodel _ Repair _ T.I. _ Sipn _Sprinkler _Demolition_Change ol Use <br />Description af Wotk (aAdAronol spnco pronded on �Ih[o back) : <br />Ib�',li��� i1(�SI,�Q/.i�� \�`t, I''"i`\�.,:t,.� u. I—i-'����>�^=_. <br />) � <br />Have you started wmking wlthout a permit? _YE3��0 <br />MECHANICAL PERMIT APPLICATION <br />o1Pro�ocl: �Now_Addn _Allorallon_Ropalr <br />�Show Numbw (MJ o/ /ixfuroe <br />� NC - air handling um�s <br />I Porced air svslems <br />Ranoe hood <br />SPRINKLER / SUPPRESSION SYSTEM <br />NwnbM pl <br />PLUMBING PERMIT APPLICATION <br />ol ProJoct: _Now _Addn _Alteratlon _Ropalr <br />Shox Nom6arlMl o//Ixfuref <br />Medical Gas <br />Other: <br />I hereby cetldy ihat I have n�ad nnd e�amined this npp6Ca0on Flnd Anow Ihe same to be true and Co�recl All provisions af laws end ordinences 9overnlnp <br />ih�s typo ol v�o�k will be compeeA wdh whether specifed herMn or nol ihe yranting ol a permd does nol presume lo pive euthmity lo vlolale or cancel <br />Ihu piovivon ol any olhri slale o� lowl low iegulnling conslruclion or Ihe perfomiance ol consUucUon. Thei I am aulhonleA hy Ihe ownar ol thle propehy <br />lu perlurm Ihe wo�k Im �vinch nppnrnbon is mado enA I mply wnh Ihe Sln�o Conirac�ms Lnw 18 P7 RCW and 2B8 200 WAC <br />I �' L � '� . ��( ( � �i j (� l�i�CA��/ <br />Ownol/Aulhorized Aganl Signaturo U� (Revrsetl7?01 i) <br />