Laserfiche WebLink
osow <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> Blue w. <br /> .(P)425.-257 8810 I FAX 425-257-8857 I(E)aave 1,; . � l Imwr. terett gtsvip r <br /> pROdECT SITE ADDRESS. <br /> -71 • <br /> 'LEGAFor new construction Shortietlt6Ptvlsion PROPERTY TAX# <br /> t No."' (attach copy of long legal descrlptlon) <br /> OWNER NAME 'mit r'r ,: <br /> " TENANT NAME •Comme at s <br /> OWNER MAILING ADDRESS: STREET <br /> L'.` STATE L(,2 ZIP V <br /> OWNER PHONE. ' as 7.�; . <br /> .: OWNEREMAIt.: <br /> CCti4 C'I'OR NAME: <br /> all aetm` L <br /> t~�Ct1�Cit tCTGf ADDRESS. STREET C: <br /> STATE '•.1 _, ZIP i a {- <br /> CONTRACTOR PHONE: _ CONTRACTORmAgr <br /> PRIMARY CONTACT: ❑OWNER td <br /> - . ;' � TCt ❑OTHER(Please Specify) <br /> ONTACT NAME: <br /> CONTACT PHONE ' 5 ZS"_''` <br /> CONTACT EMAIL: <br /> ` ,s VV; s .s.,, tia �to ice <br /> Exl«t Use of���t�t0g� � <br /> Contract Price of Work:$ °.:�, _ 4/ <br /> Pflsa Use ofE3sttJd . <br /> ProBunos I fB `Heat Source ❑Gas 10 - Other. <br /> ,..«,FR-Detached � <br /> 1 ISFR-Attached ❑s l <br /> ' ❑Multi-Famil;hof tJn OCommercial Industrial <br /> Tia k oft rq,ec#. ONew_ DAdditlon Cl Remodel <br /> OR: tl�. t7Ti, 0, ©SBrittktaC ODemolition ®Iytart« 'oFUse <br /> CRIPTJGN O WONK: r ';�t � <br /> .::.. <br /> , <br /> ASSOCIATED BUILDING PERMIT# lf` ';',oticable i : _ -. <br /> 19uR of�ECH N e -..`it'�I Ifttlititt la tA't't f�ty «" ° ` °kik, °„" � L r - k g` . d _ <br /> Addn .. "ttetattOtt _Repair , = T <br /> 'tt� Type of Project „_New „Addn Atteratton _,Repair <br /> "#of <br /> 0 . '. , yra i,-- of- f.,Plor1N Y+ ----. - #of <br /> Cur <br /> Flxturas <br /> � " o <br /> �t�ter; • <br /> -.1At Air Plaudit" _= rts i4eatRol Togo ct vt'Pte*tter ttls,i t 'et;}xoraed Atr terra = k ',14?:. t Gas.Pft Lavatory X�Wash& sit I �ttWatery Heatera - eT Fio" ,• -W # s <br /> tge <br /> S,rtk: <br /> totttes er tttclotrttis, Other: • fit, <br /> • Rttt e- '.0sflel aril <br /> Water Heater <br /> cosi;Pat1 w Other .::Gas <br /> , ' <br /> ',."..,....--7 i STrt tae rtt .<« t <br /> A aFiittlafl'Ct Leif`;/`.. <br /> Chemical or Water 'No.of Heads <br /> "ACK,NCtYLEU , `E °*leve mr� <br /> 6rt2ta <br /> ppifOerlamen teakf*iiet.coylef,eedhereins <br /> d f t Y vr <br /> , RP <br /> ��tt <br /> mu <br /> st co <br /> ercCtf retis ateThe ,iii9 ofaNf �et�ltxss etprpgatk aty!andd+ 'tJfenalhrrarrr, t0�` t eeu* t(fnwd# tion <br /> ta.8r#d10‘ dyf6teltatlat d;atdtsren 1416thevtttarkcef4nneuthotlzedby., + er f rafpfla»idr <br /> .;e . ..Attei 7odtta r t . ,2 J 3 osAta4.1 ., of EverettONcial Usetom <br /> 4 s. 11.. � <br /> OeriAii d 4 0p Date PERM 1/4...s 0 v i , <br />