Laserfiche WebLink
4 <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITIOU <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 ��.-�I'� I/ <br />-1825 ��'erc,�rcn (,v <br />� <br />a <br />EGAL (or newconstmc6on. Shon Pt�l/5utarvision I,oI No _ (allacn copy o1 tong legal tlescriplion� <br />"�)e�,or�;P K�;;n <br />� <br />I�ig ��y�"= q�e 5E u��i� zo�_ <br />C70R C�M NEnitn anc�nq <br />� � <br />,.,G� , zcp �� C�r-kla�� ��t,+�l. 9 f3D 8 <br />Q �� l�%�.l ��n i u�S <br />Cily/Slate/T.ip �)C.(�Q,Vc-C, Lt�-'1- c <br />L 8 I Lic # ('_F,til N E NG91��/ C <br />y15-E21- <br />MJ� l ��r <br />'Ito-82i•12�i3/�Tere,h< < C�'n•-hvucr. <br />PRICE Of WORK �OO.O � <br />EzislingUseofBuilding (-o�'me�Cto�1 IEIn, \ � HEATSOURCE� <br />Proposed Use of Budding •�JQ'N`E \, Gasr , Eiear�c_ Othcr <br />�uilding type _ Single Famiiy _ Duplez _Townhouse _ MuIlrFamily �i Commeraal <br />Type of prqecl _ New _ Addition _ Remodel _ Repair X TJ. _ Sign _Spnnkier _Demolit�on Change of Use <br />DCS[�iplionolWOrk(atlddionolspnceprovitledonlheback). Z'n�.fFi�l z ne�� 5,1�1�� Gf� ��{� � Pa;o�'nJ <br />�lc 5ysie� anc� I new c�45 P��n� ovilef . v <br />Have you started working without a permil9 _YES � NO <br />MECHANICAL PERMIT APPLICATION <br />olProiect: _New_Addn XAllcralion_Repair <br />Show Numbcr (d) ol lixfures <br />� NC - air handling unds <br />� Forced air svsicros <br />I�i�t.7L�J <br />SPRINKLER / SUPPRESSION <br />of lieads <br />PLUM8ING PERMIT APPLICATION <br />Type of ProjecC _New _Atldn _Alterdlion _Repair <br />Sho.. Nurnber (k) ollixlures <br />Water healer <br />Slnk (serv�ce� <br />Backflow prc� <br />Unnal <br />Drinking Four <br />Floor drain <br />Grea;c trap <br />Roof drains <br />Metlical Gas <br />Other <br />I hrrehy cendy Ihal I havr reatl antl exam�netl Ihi : nppl¢.i�ion antl Y,now Ihe Same lo �C IIUC antl Corretl NI prDvbi0n5 0l lav5 antl ordin,lnce; goveming <br />Ihu iypc ol vm�t vnll be complled vnth vficlher ;pculied hcre�n or nol Tne qranlmg ol n perm.l does no� presume lo grve au0mnty to vroL�le or canccl <br />Ihe pmvision of any olher ;tale or local law regulalmg conslmclion or fhe perfoimince ol con;lrur.hon Thal I am author��nh py Ihe o:mer ol Ihic prnpeny <br />Io peAoim un oiY. br vfi�ch appli��bon is m, Ue nnd I comply vnl� I�e Slate Conlratlor; law 18 27 RCW antl 29G 2G0 WAC <br />f [9 (�� / � /6�'�"' <br />Dwncr Autliorizcd ge� Si�jnaturC Dalc (Rnv�s��tl2/,•01 p <br />