Laserfiche WebLink
� � <br />F'ERN11T APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everell, W A 98201 - 425-257-A810 - FAX 425-257-8857 - www.everett�.va.org <br />APPLICATIONS ARE ACCEPTED fROM B AM TO 4 PM �� „7Q�/ y <br />ADDRESS: <br />fo� new �on;Vuclion�. Short PlaVsubdrvivoq __ <br />PERMIT APPLICATION <br />ingUseofSwldin�_ _ ____ ___ <br />osed Use of Oulldir9 <br />TAX p <br />PERMIT 77 <br />No. __ (atlach Copy ol long Icgal dc,cnpbon) <br />&ILic N <br />.mmi i�L.l.l <br />'ACT PRICE OF <br />— �3.'�7� <br />� <br />��� _. <br />\T SUURCI:-. <br />[IcclnC Jl Olhrr <br />(3mldmg lype: _ Single Family __ Duplex __ Townhousi: __ Mulh-Pemdy __ Commercial <br />Type of projer,C __ New _._ _ Adddion _ RmnoAel _ _ Repar _ T.I _ _. Sipn _Sprinklr,r _Demol�lion _ .Change o1 Use <br />DCScfipiion o� Wofk (eAAd�onal space p�ovidcA on U�n hacF� . <br />���-st� �, ��rn-c� 3 2� �t�ss G4�x-r (�...,��p SYstz-� <br />you slaAed working withoul a permit7 __ YES _� <br />MECHANICAL PERMIT APPLICATION <br />ol Pro�er.t: _New _ .. AdAn ___Allcrntlon ___ Repair <br />– alf <br />� Olhr.r <br />INKLER / SU <br />Num6or nf HC;nis <br />PLUMBING PERMIT APPLICATION <br />nlpro�ecl: New_ _Addn _,Allcrallnn _'_Repair <br />Show Num6cr (p) ol Nrhur. s <br />I)nnkinq I nunt�un <br />Rnor dr:nn <br />Cin::r,c haP <br />Roof dra'�n; <br />bted�cal Gac <br />ouici <br />Olhnr <br />I nerr.�y ccrtAy Ihal I havv �rad and cuimricJ I�u; apphc�ibon and kno�i Ihu camn tn be bw: a,�J conrcl MI piovisiuir. nl liws and mdmanr.es govemniq <br />Ihis lypU ol wor4 wdl hc ccniphud w�lh whclher :pcuLcd hcre�n ur nnl Ihc yranl�ny ol a peund Aor, nnl presurnc lo r,rvc ninharlly lo molale or Ganael <br />Ihe pmvis�onnl any o1Uer at f ar local ,�w requlaling r.onsliuciion o� Ihe pedonnanr,e ol con:vuction. Ihal I nm aulhonzeC hy Ihe mvner ol Ihrs pruperiy <br />b pcA rm o wDrk 1 hir,h OP��r.almn I5 rnaJr.:mA I r.urnp�y wdh Ih�! Siala Coni�ar.lot: 1 nw 1A : 7 R4W nnA [3fi 700 WAC <br />/D- 24 --,i� <br />Own.lAulhorlacd �i5iqnalurc 1 Ualn (Hrrv�se�1J/,'i�11) <br />