Laserfiche WebLink
APPLICATIO� FOR CONSTRUCTI�N PERMIT(�/��� <br />CITY OF EVERET' • BUILDING DIVISIOtv �/��__J,� <br />3200 CEDAR STREEI" • EVEREI'f, WA 98i01 •(425J 257•BB10 ``� "' <br />❑ DEMOLRiON ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBIN6 � SION <br />PROJECTl�ODRESS: <br />.J�1�„��(� i`f3'1S NC ��iii. /RCOl �Y�_-'_�!7!/� �l.•a�'��ri�iao.� <br />OWNE11 uu��ppuE55 Ll1M � 3�n YXOVE <br />lE'IAN��)���MMf55 GIY IIP FIqNE <br />_ �/.l� <br />•IYr9IC/ORDESiGNE11 MM�OOPE55 CIIY bP PNJNF <br />J,��` Nld <br />MF.CI4�JGlCCNI �CiON M4�AOCNE55 f.IIY I�P PIqNC Si�IFUCENSF� <br />:11148MGClW1�IM 4�I��CG�F55 CIIY IIP PIqNE SI�IELICENSE� <br />im _ <br />otocrt <br />1GlFl�qvE <br />WATEHCLOSET <br />PERMI7 5 <br />FOR OFFICE USE ONLY: <br />ranurscrwc� nc�n� <br />�� � <br />�SF tCNF �� <br />.�1 _ � / <br />u0 OIpWEL'ING <br />IlN11V . in <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />1 HERE6Y CERTIFY THAT I HAVE READ ANO EXAMINEO TMIS <br />APPUCATION AND NNOW THE SpME TO BE TPUE AND CORRECT ALL <br />PROVISIDNS OF UWS AND OROINANCES GOVERNING 1HIS TYPE OF <br />YlORK WIIL 6E COMPLIED WIiH WHETHER SPEf:IFIEO HERE�N OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEq STATE OR LOCAL LAW REGUUTING CONSTRl1CTION OR TME <br />GERFORMAM10E OF CONSTRUCTIJN. TNAT I AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPEflTY TG PERFORM THE WORK FOR WHICN <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LHW 1827 RCW AND 296200 WAC. <br />i:!.��/`/L�c1[/ %�8"'Q�' <br />5 �1UPE O��C <br />LIIV BU4NESS IiLFNSC NO <br />V�C�NIAIE <br />❑YE$ NU pUIWNf. <br />PlUN11MG <br />'MEN� yFCN�WGI <br />❑YFS O F� - <br />•UL IiON11.1'I�NCII(LM <br />O���ff1 <br />f�FlC OUrt�iryF 5UOCIOnf.E <br />CITYOFEYcflETT runimwonns <br />LOCALSALES —�-- <br />TAX CODE IS 3105 7oTAL <br />SUB TOTpI f <br />PERMIT t <br />iO7ALFEE 5 <br />�E9� �3 �F� <br />