Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT/ <br />CITY OF EVEREIT • BUILDING DNISION CC+� <br />3200 CEDAR STREET • EVEPE7T, WA 98201 •(425) 257-881P ����t <br />O DEMOLITION ❑ COMBINATION O BUILOIN6 ❑ MECHANICAL ❑ pLUMBIN6 ❑ SION <br />PPOJECTADDHESS: 9ii0ii Bo�b.,IL 4n,d. s,,:-�oL �Uer.'f� /Jii <br />1fN�N1 YYI YIq1�55 f.1�V !IV RqMf <br />�If1�ffCt011Ilf4WlFl1 �1�n/�11011{55 Clf� )in 1Y(YU <br />f.(Mf�4Cf»�INf.1T Vu1�WM�F55 CIIY j�f NMn[ 'I�IIIK(HY� <br />�iC�UNiC4 fOYlmflOn uu1.VCnfSS OM1 )m - 1�KFf [�11f lCFxSF � <br />PIn4liM1GCP�IP�C�On 4ul�MMf55 Cliv ji� PHOMf S��ItIS[NSf• <br />nrscme� w�a� �vn sw.u� rooupE �vano <br />IOi MO[e <br />MII(il lIJ 1 O M14N R <br />cOVSrmCrHF �Mx � rRlfu NX �6s trl FI'F:•'� MNOFl� <br />FOR OFFICE USE ONLY: <br />�:inqtvrp.re nrursne¢� <br />liill:)4f IOI�M� <br />�IFIf�1�I�Vi111q.♦ Nn p I�W(IIIMG <br />4i1\ <br />�amv.:. r�.i..�� ,.:�un.x�m.n <br />oafSn�Net[NP[9�U M�VM <br />111ii /.1�1!�IlIU4 nf��M <br />�.r� oi � nva — riervnra�vrn <br />n.n <br />M9ATING SYSTEM: ❑ GAS O ELECTRIC ❑ <br />corrt�cr vr nsar um riwra rro <br />I NEPEBY CERTIFv TN�T I MRVE READ AND ExAMINED THIS <br />APPIICATlO�! AND KNOW TIIE SAME TO BE TRUE AND CONRECT ALL <br />PROVISIONS OF �AWS AN7 ORDIN�NCES GOVERNING iH15 TYPE UF <br />W00.N W�IL BE COMPIIED WI7H WHETHER SPFCIFIED NEFEIN OR <br />NO7. THE GRANiING OF A^ERMIT UOES NOt PRESUME TO OIVE <br />AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF I1NY <br />OTHER STATE OR LOC�I L�N' REQULATING CONSTRUG710N Oq THE <br />PERFORMANCE OF GONSTPUCTION i114T 1 AM AUTMOR12ED OY TNE <br />OWNER OF THIS PROVERTY TO PERFORM THE WORK FOR WHICH <br />APPULRTION IS MADE AND 1 GOMPLY WIiH TNE ST�TE <br />CONTR�GTORS UW IB 2l RCW �NO 298200 WAC <br />� .Q. � 9�+� /99 <br />x <br />emM.�uln u,n <br />Cil� N4MCSS lC1 Nt[ Np <br />I ❑vF5 ❑M1 Ipu�M.F. <br />Sif( M ]lOG'll -- <br />m« oNn <br />CRY OF EVEHETT <br />LOCAISALES <br />TA% C('i7E IS �f05 <br />HERT PUMi` <br />Mi14P:Mf <br />VIIII�NY�1 <br />�pryLfW4 %�MC�MC[ <br />O��Mn <br />[1111 Ri1r�UM1:5�IT.1141(:( <br />nmw:wrr.c �' <br />TOTAL <br />nrrmm �o <br />FEE <br />___�_ <br />_ ... �{� <br />