Laserfiche WebLink
APPLICATI� FOR CONSTRUCT�N PERIIIIIT <br />CITY OF EVEiiETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98207 • 259-8010 <br />Il DEMOLITION fl COMBINATION I� BUILGING I-I MECHANICAL j�PLUMBING fl SIGN <br />PROJECTADDRESS JJ M �, <br />z�� S �L3 %-U��ti'r:T`f- t� l C�a � <br />e[xmnieoxmncron unii�ouness a�r rm ruovc sur[uccNse. <br />NELIIANIC�LCO!I1P4C10f1 M�ILADORE55 Clry 11P VIIONE S1Ai[IILENSE • <br />PLIIMBINGLOtIIlIPGiqI MPIL��O�E55 QM1 IIP PIIONE S1qBLICENSE• <br />Curc� ��n. I�a„R;. 11,�,I2 -�LmrA nuclv lC:e�l.n,.d `�Y'o� ��-. 522-.�40o Euet. �nrp_y,EyN <br />coN� �crrniaorwonK <br />r� �,�Q(i� ��� � HEATING SYSTEM: f l GAS fl ELECTRIC f l <br />oEscmnE wanK nxa sounnE Foornce ixvoiveo rorvucr rEnso�� nno w�or+c Ho <br />ioi oiocK <br />cousmucnox io�n i��men. �ooness. reicr��o.�e Huuocn <br />SUB <br />F0R OFFICE USE ONLY: <br />rnoHrsrmzcK nc�nsnn�ce smese�eetK <br />us�aove ioren¢n <br />11[IGp1OMI��f10N ND.OFOWCWNG <br />Itt11I5 <br />CCCIIPANLY 4J Oi 5�(�f 5 CCLUt'AW 10�� <br />I HEREBY CERTIFY T41AT I HAVE READ AND E%AMINEU THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORflECT ALL <br />PROVISIONS OF LA145 AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIE� HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME f0 GIVE <br />AUTHOPITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEfl OF THIS PROPERTV TO PERFORM THE WORN FOR WHICH <br />APPLICATION IS MADE ANO I COMPLV WITH THE STATE <br />CONTRAC/TO�RS LFW IB 2� RLW AND 296.200 WAC. <br />�/V1A �' -�f,� � o'��--^11 <br />X 1 h <br />S�GNAIU E O�aO SYZ �^'C <br />T <br />Clrv OULNE55 LiCENSC NO <br />rur�o�¢K <br />vncervrsne rees <br />nres i��m ounoinr. <br />S�ZE Of 9l WrtI <br />rw�owc <br />BASEGENf VFQI�NILPL <br />I1vE5 f� NO <br />Pp01IIONN. RAH C��fCN <br />on�en <br />sme ommrt�r suncunnce <br />CITY OF EVERETT ronur,won�s <br />LOCALSALES <br />TAX CODE IS 3705 7o7AL <br />no <br />