Laserfiche WebLink
1 1 /02/2016 12;12 <br />� <br />PERNl1T <br />� <br />�►�P���GA��{�� <br />Page 2/3 <br />BC���DINGI�E+��1�h11��4�,.1�'l�k�I�fE�if��lSI�NIS��IN�CLE�aE�+I�LITIC�f� <br />�IT'� t7F E1TER�'TT PERMIT SERirf�ES <br />��Op Cedar S't., �v�re�t, �IVA 5��Q1 4�5-?S7-S8'il7 �}�C �125-�57-8$�7 www.�ver�t�nta.t�rg <br />1 K�� 7: <br />32$ 50th St SUV EVERETT ��`� <br />lT <br />iot new corrsbuctron: Short FiaVsubdivisiQn Lgt Nu_ _ (atiach oopy of lang leaa€ desr,tiptian) <br />Stev� Seely <br />328 50th St SW <br />� <br />Pt�or+e�-r�� 425-2�2�3712 <br />c�cyJszater� EVERETT � UVA 9$2d3 <br />(:�A�IT: _ Owner � CTvine�s Agent '�`_ Carsiractor _ Contt3ctor'S d�ertt _ 7enaat lR.,,tp,o„�ae o Kcr�,-orco��„��a� m�,�a� �,� �, ��, <br />E2AETOR Qanik� P�urnbin� & G�n�ra�ti�9 st�t� ut. #�AN�KPG9� 6La ��,; �„� �e. # 0539$8 <br />; 524 1��nd �t �W, �t�ite 1Q1$, Evei'e�t„ WA 982D4 Pna�de�,�,� r�25-335351�.info�d�r3fkaco_com <br />IL��NG RERMiT ARFLt�ATIQN <br />Steve Seely <br />425-252-3�71 � <br />�wc�c�Fwc�c $50fl.00 <br />r�g U.� Q� Bt�ldFng i f�AT S�lUFtG�: <br />5sec� Use .� Hulldiijg . __ G� Etacttia �ther <br />n9 �YR�: X 5ingle �atnily _ €3�ex �f'�ti�ot,tse _ i41uf��arrit� � Coimlerael <br />of prn}�ct _ Ne�v _ Addi#iron _ Rernoc�E � R:epair �, �'-�- _�ign _S�inklcr _�ofibon Charx}e of iJse <br />CRIPTi�3N �7F WORK �adertion� s�sai� prav�ded pn t3re hack)= � <br />R��lace wate� h�aier writt� similar_ <br />di Prnjett _t�ew _,Adc� Altrratean _Re�air <br />�ho,M iVumber �) of Fizturets <br />A!(: — s�r f �ling u�ts <br />Forc�d afr $Ysterti3 <br />Gas ra�ge <br />�� rfyi <br />F2z�t� hoa� <br />�x��.�st fsn <br />H�at P�t� <br />L)n�t i�fe� <br />$O16� <br />f2�fr1t7C�8�Al <br />Woadsmve <br />�ttc�irep <br />�tl7�r <br />I S PP#� <br />�� <br />i�ltlmb�er ai f <br />oi Project �/1p,v �Addrt Aiteratiar� � �lapair <br />5haw Number(�) of�rxruna� <br />I�t�hen sir�t $t <br />�r <br />G'la�s w� <br />W�6er tye.ater <br />Medi�;qil Gsa <br />C?trier_ <br />� nera.�y cers�y tssa: i nave read ana e�nincw tnw appicatqxi and tnow ptie c.ame m be �ue a�d cnrreci �u prov3�s ot �a�s and ara�an�s gui��min4 mts type ar warx .rai be r.cxnp <br />wttn wh�v�ev specN�ed n�ln ar rmc rne grarimg or a pemin �es nat pre6ume t�i gnre aumo�IIy iu v6��e ar c�cal the pmvigcn of �y ather a2ate or rqc� taa re�uta�ng cons�cGon <br />Thai I arm au�wr�zad oy itoepwner or in�s prp�a} ta pzrfirm the urcr�y, inr u��h �pp qn I� ma�7e an� 3 comply with #he vta� ccrmaofars ! aw za.27 �tGW and Z�f:2tlfl,�, yVAC. <br />. :: .-,_� r <br />� r�f' : f• � /� . <br />� . _.. <br />4wner[Aoihorite� Agent Signature -. at� fRe��i��zd 9��U1�) <br />� �� <br />