Laserfiche WebLink
APPLICATI�I FOR CONSTRUC'�N PERMIT � <br />1"O BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDINGDEPARTMENT HEATINGSVSTEM: ❑GAS ' FLECTRIC U —1 <br />259-8810 <br />I 7 �EMOLITION f! COMBINATION I I BUILDING .. MECHAhICAL lJ PLUMBING ❑ SIGN <br />ccrvcnnicw��r+�cron uu�nooaEss crtv zm nHonE su*[ik[risE. <br />I <br />�F\'iORN <br />MlU.l <br />�I <br />MAIL <br />f W IAGE <br />i�liL �twi�' <br />PROPOSED US[ 0� OU�lOiNG <br />2sSTAuRA� <br />iccu ocscnivipx or rnorrnn �sNov+u eeiow on ni <br />Wi BLOLN OF — <br />PMCR iA%1 p NIIMB[P <br />SHOWER <br />ROOF <br />FOR OFFICE USE ONLY: <br />115[ 20N[ <br />�rvmrcrost <br />sae ar emc <br />OCCOP�NCVLOI.0 <br />REA5011 <br />PUNS <br />oarc <br />IELEI`IIONE M1U4BFP <br />Iiv VMONE Sin1EL¢Ei6E• <br />E�Kl4¢ TL1•BOt1 Lueon�GGegohl� ' <br />$iP PNONE Si4iGl10EN5E• �(1 <br />t <br />f <br />{a <br />COf1LALiPEN50NANpPMNENO �y�� Ta �j �t • �OZ� �y <br />:1 <br />I HEflEBV CERTIFY THAT I HAVE REAO AND EXAMINED THIS . <br />APPLICATION AND KNOW TNE SAME TO BE TFUE AND CJRRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINRNCES GOVERNING THIS NPE OF �� <br />WORK WILL DE COMPLElEO WITH WHEiHER SPECIFIED HERLIN OR q <br />NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME 10 GIVE � <br />AUTHOIiITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGOLATING CONSTRUCTION OR THE �, <br />PERFORMANCE OF CONSTflUCTION. THAT I AM AUTHORIZED 6Y THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH , <br />APPLICATION IS MA�E AND I COMPLY WITN THE STATE <br />�fOIQi`ROCT0�7RCWAND296200WAC ,; <br />/ <br />1 <br />✓�ll�� 9-i7-9 � <br />WATER <br />PUMP <br />SI�E <br />Ci YES i i NO BUII�ING <br /><a+ea. uo a oruuuu�+s — <br />�oa= p�UMBIhG <br />�SENEN� MECMFNICAL <br />❑ VES i7 NO <br />iIGNILiMiiAiiON AO�RIONALPIANCHECK <br />OTHER <br />$TATE 9UILD�NG $IIqCHARGE <br />CITY OF EVEflETT PueucwonKs <br />LOCRL SALES <br />TfU( COOE IS 3105 T�TA� <br />M E.A. <br />� <br />5 ' t I <br />cEE I nEcbPrr�o <br />� <br />