Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT � <br />CITY OF EVERETT • BU�LDING DIVISION � <br />3200 CEDAR STAEET • EVEREff, WA 98201 •(425( 257-8810 <br />❑ DEMOIITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAI ❑ PLUMBING ❑ SION <br />PROJECT ADDRESS: 7-i � Y Roc�ce£e � � e r /� ✓� • <br />�.-;cl.�...,d ^.�p. �.t_P.� P.o.6ox 14d7 � EoERe-rT 1 AuG 4is) 3i4-Z'io7 <br />MC <br />��w,h� uuvrtss cnr rr n <br />M`c��,� /�.4ce e%i�;}e�f, yL'i Firt'� St. Swokow:ri� 4�L90 <jGo� �[�SLS-1131 <br />ur.wnctonotvcrrtn� u.n�ow[i4— atr nr r�cwf <br />OW N�2 <br />cc�cn.ucor1�n.c�on � �u.wv¢xs cnr rr �+✓rv[ ������c�Mv. <br />7f.t.�. <br />4ECN�uiL4Cp�ln41(M 4ul�WUF55 C1tY In• P�qMf SI�RUCFNS[� <br />S�i��- r <br />w[ rrvaiv[o <br />r:ent . c�co-.. ��s��� <br />(,000 <br />u...��..o..�.�..�..........�,.� ....................._.._._.._ _. <br />ioiqjl�.�� mac�361 wP(.{-�£v._rei'f <br />a��.a�a ,., �ol. s.f r�ak, �->z <br />4391-G2?-ooy-0000 <br />coxs�n��crwx �aw i cuntn. �oo�css. �[�u+an[ m�cn <br />FOR OFFICE USE ONLY: <br />fMINI[fIfl�LM MMSi1PI.CS <br />usc ru+r <br />�rc�ca uun��a+ <br />OL1111'�M.� W Iv' <br />� <br />rmc v+rvntm nto'c <br />i0G <br />rna nunu nm'o <br />! :'U <br />rvr[�ca�a - <br />J / i _ �� l <br />PERMIT S <br />TOTAIFEE S <br />�o�urc�� v¢� <br />wo u cmtiuxc s�tE a a <br />�mns �-7 <br />{X.LItlwNIIU�U OLS <br />IIi��M� / <br />: .S�D� �%!/ <br />oQ�i On�y <br />� —. <br />FMLN1 <br />ons �y «n <br />...0 �rj � ,� d <br />is�rw�ovmor CITYOFEVEBETT <br />LOC11L SALES • <br />� ��i ;�;�ti TAX CODE IS J105 <br />HEATING SYSTEM: B GAS ❑ ELECTRIC O <br />r (+is�)��a-i��7 <br />I HEREOY CERTIFY TN�T I HAVE IIEAD AND E%AMINEO TMIS <br />APPI�CATION AND NNOW TNE S/.ME TO OE TPI/E ANO COPRECT AlL <br />PROVISIONS OF �AlYS �NU ORDINANGES GOVERNING THIS TYPE OF <br />WORK WILL OE COMPUED WITH WHETHER SPEdFIEO MEREIN OR <br />NOT. THE G��NTING OF A PERMIT OOES NOT PRESUME TO G�VE <br />�UTMORITY TO VIOLATE OR CANCEL TME PROVISION OF �NV <br />OTIIER STATE OR LOC/�L L�W RECUUTINO CONSTRVGTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMOR�ZEO BV THE <br />OWNER TH PROPERN O PERFORM THE WORN FOR WHICM <br />APP IC I N 5 N OE A I COMPLY WITM THE ST�TE <br />CON R CT AW 1 27 RG AND 296.200 WAC. <br />_�., o„� � <br />• �ta <br />ai. wvrrtss iccxu ria <br />..���•���.� <br />n•� <br />// nrcrm�no <br />�rn �� ���� 7 U <br />i .� <br />nwnMr. <br />nuw�vr _ <br />4(f.11�Nif.�1 <br />�od�+w.i n�wc�rtc+ <br />m�,rn <br />Sl�lf RInIMM:SV�C�upGf <br />nmir.wa�+s <br />TOTAL <br />e <br />