Laserfiche WebLink
APPLICATI�I FOR CONSTRUC�N PERMIT/� <br />CITY OF EVERETT • BUILDING DIVISION �i��T <br />3200 CEDAR STflEET • EVERETT, WA 98201 • 257-BB70 � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �GPLUMBING ❑ SIGN <br />PROJECT ADDRESS � �//_G / <br />/yo2 F_vr.r{�-�rj�// �✓a �2z <br />OY�NER I.UILAD�PE55 CI}V ZiV VNONE <br />�/�(%All ��OGI(�) <br />��2 <br />�� .r�vnc <br />L[NERALWNiMCiOR MAILACOPE55 CIiY $IP PMON[ Si�1EL1LEN5E� <br />Gr� r e Co�•i , <br />IAECIIFNI���LONIMCLOP IAAIL�WRE55 LIIY 21P MIONE $iAi[lICE115E• <br />Uvti�Jl�4 ��l ]O.�Z�� �%� S��.0 <br />vnr.� ec <br />wo�K •r�o sou•nE rooucc n�vavco <br />lOT OLCLN _� <br />PPRLELi.VtID NVMO[F <br />cor+smucrior+io.rv iErioea. woacss. <br />TRAV <br />URINFI <br />�..onA Gv�. i <j1f)672 -42 V /S'CN�o%',te <br />HIEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />covrecr ccnwr�.wo vnor�e r�o. <br />I HEREBY CERTIFV THAT I MAVE READ AND E%AMINED THIS <br />PPPLICATION AND KNOW TIIE SAIdE TO 9E TRUE AND CORRECT. ALL <br />FROVISIONS OF LAWS AND OPOINANCES GOVERNING THIS TVPE OF <br />VlORK V�ILL BE COMPLIED 1VITH WHETHER SPECIFIED HEREIN OR <br />kOT. THE GRANTING OF A PERh11T DOES NOT PRESl11AE TO GIVE <br />f�UTNORITY TO VIOLATE OR CANCEL THE PflOVI510N OF ANY <br />()THER STATE UR LOCAL LAW REGULAiING CONSTRUCTION OR THE <br />f'ERFORI,IANLE OF CONSTRUCTION. TMAT I AM AUTHOFIiED BV THE <br />OWNER OF THIS PROPERTY TO PERFOflM THE VlORK FOR WHICH <br />pPPLICATION IS M11ADE AND I COIdPLY WITH THE STATE <br />I;ONTRACTORS LAW 1827 FCW AND 296200 WAC. <br />( �.u�Lf/a �� 2-G-p/ <br />�ncr++mne onre <br />�:rtr ousmr.ss uar�se r�o <br />FIREPLACE <br />FOR OFFICE USE ONLY: � <br />iPONlSEI04LR PEMSEtOACN SIOEtLiORCK MNiLNECNnUMOEP <br />U`.[20NE LOLAOE� \'ACANi51tE FEES <br />❑YES ❑ 110 BWLDn�d <br />11(IGMiLIIAIiAiION 1qO:OWELL14p $1IEOFOLDGTI <br />IINIiS <br />r✓� a <br />irvE ov Cne:,�. <br />PLIIIA61lq <br />'.aCAIENi 4EL141:ICI�I <br />nres n no <br />woinorvucuHCN[cn <br />on�ea <br />,rer¢ ewmirvc suacNnnce <br />CITY OF EVERETT ruoi�cwonxs <br />LOCALSALES <br />TA% CODE IS 3105 TO7aL <br />FEE 5 <br />PGLEIPi NO <br />