Laserfiche WebLink
BUILDING ENC <br /> LOSURE VALUATION CERTIFICATION WORKSHEE� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810– FAX 425-257-8857– www.everettwa.org <br /> SITE ADDRESS BUILD NO(NUMBERS) PERMIT q'S <br /> 14ir �,.�sr- Gxw+� � � Bc7oG-o57 <br /> �i��Ti"� w�+ �igav`/ j _�� <br /> � y <br /> c.�.�s� ,o�o <br /> A. ASSESSED BUILDINr,VALUE-PER STRUCTURE B. CONTRACT PRICE OF WORK-PER STRUCTURE PERCENTAGE I <br /> (STRUCTURE ONLY) (BUILOINO ENCLOSURE ONLY) (B.x100)I A.•/. <br /> f � 1�r1 — *�$ U00 .� � <br /> � 3�o� � ao� t' Pt <br /> ,��,-.��"v $� °Ci � �r <br /> 4�� /0 ( _ j�/. �oov <br /> I hereby certity thal lhe cosl ol cons�ruction work lor the building enclosuro lor lho mul�i-lamily bullding(s)Is aqual lo or loss than 5°�L of <br /> the currenl assassed bulldinc�vaiu�per structure,basod on Iho currant Snohomish County tax assossmonls. All provisions ol laws and <br /> ordinancos governing lhis type ot work will bo compliod willi wholher spocifiad horoin or nol. Tho granling ol e pertnit does nol presumo <br /> to give authority to violato or cancel tho provision ol any olher slalo or Iocal law regulaling conslrucfion or the perlortnance o( <br /> conslruction.Th t I am authorizod by Iho ownar of lhis proporly lo periorm Iho work for which applicalion is made and I comply with the <br /> Stalc Conlrec s Law 1827 W and 29fi200 WAC and RCW 64.55. <br /> ,. ,.�. : �l��l ---5 F 7 <br /> SI aturo oi OwnorlContractv uthorized Agant CONTR.LICENSE p Date <br /> �s�viadebz�l� . <br /> �Li'u lVI��KI.t -, l'/' �/�'J6,P � � ?-[-�.�> <il,n�?� . �LC <br /> Printod namo ot OwnerlContra orlA lhorizod Aganl Printad name o(buclness e-mall <br /> /yif W. �r j Yl R-� /�l��t CT ��VI/4' �aORJ �� �Q�/'���030� <br /> AD�RESS CITVIZIP PHONE <br /> FOR OFFICE USE ONLY <br /> 06I27107 <br />