Laserfiche WebLink
� <br />,� <br />� <br />the Eveipreen <br />CITY Of <br />everett <br />i-�►PPLICATION FO� � <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />evcrcll <br />e <br />e <br />BUILDING DEPT. <br />259-8745 ❑ COMBINATION ❑ BUILDING �, MECHANICAL ❑ PLUMBING ❑ SIGN <br />pWNfR MRILA00(iE55 CIIY ZIP PIIONE <br />prr.�qc,,c.n..� ►srNwr gqwK Gaig EvatC„�al C-v6-terr' 4sto3 <br />ARCMIfECTORDE5IGNER MFILAOORESS CItY ZIP PIIONE <br />GENEPnIGONTBRCTOR <br />MAILA�ORE55 CIiY ZIP PHpNE UCENS[♦ <br />MECMANICRLCONiRACiOfl MAILAOOfiE55 CIIV 21P PIIOII[ LICENS[� <br />c.,vsta�w.. ,�„n,r,e��i P.o.8ox1381. EVEi�i' _`i42.o1. 1i'4�4bt`i� E�CTI-�SI(U <br />M/IL <br />CIIY <br />OF WORK <br />NEW ❑ AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FFPL.INSERT <br />T^ION OF WORK ICOST OF MBTERIRlS P W 5 LABOF� <br />AV 1 QQ�� <br />ta�'+�n N t,. , vwn <br />COwf TY1 ° Cl YiC,r �$ Y�'J L� <br />IEGAL OESCRIPTION OF PROPEHLYISMOWN BELOW OR <br />DJECTFDORESS <br />�o $16 EY fSL.C.tLL.tN I.v <br />OF <br />WASHER <br />I�112c.��0,�toN�H G- <br />❑ BWLDINd �7ELOCATION <br />I h1ERE8Y CERTIFY THAT I HAVE READ AN� EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BETRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITIi WH[THER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCE� THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />Ofl T PFRFORMANCE OF CONSTRUCTION. <br />SIGNAI �OFCONiRACTORORAUTNOfl�2EDPGENT �ATE <br />WY%tiLl.v , ��.�s1/i-- �'III�T <br />�n ICANI'SQTYDUSINESSLICENSEND <br />Alfl <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />i <br />� <br />