Laserfiche WebLink
� �� . 'r ..i <•.I. <br />APPLICATI� FOR CONSTRUC�ON PERMIT <br />CITV OF EVERETT • BUILDING DIVISION � <br />• 3200 CEDAR STREET • EVEREIT, WA 98201 •(42� 257•8870 <br />❑ OEMOLITION ❑ COMBINATION Ly' BUILDING ❑ MECNANICAL ❑ PLUMBIlKi L] SION <br />\PROJECT ADDRESS: .l�/� GLZG_r�L �OA1 _ <br />1,40o�i�� 91�n...i �.siiac 'Cc.Owa�%, cL.>n,rrr 907nR .�Li: a�-�-.Fc�v <br />/V�ii <br />�t.uw� uw uwnEss rarv �w vr� �x� <br />J <br />( no[scnicnona nrc <br />Td10113�II `�" r �OF <br />Tna�rs Ar e,��A <br />R�.>rr�n �.+ vo� i <br />sOo� nrc <br />ru/�K��ci ru i o rnw�n <br />CONSfMICiqN IO�N 1 fM%M Mf� <br />��0�� <br />Iq. TYPE OF Fl <br />WATER LLOSET (Tf <br />B�THTUB <br />LAVAIORY (WRSH E <br />S/qWER <br />KITCMEN SINK 8 �I <br />DISHW�SHER <br />LAUNDRVTF�Y <br />CLOTHES WASMEH <br />URIN�L <br />OR�NKING FOUNTAI <br />FLOOP ORI11N <br />B�CNF�OW PREVEI <br />CSINK �SERVIGE - 9 <br />FOR OFFICE USE ONLY: <br />fPONfSFiR�fM PI�PS <br />20` <br />IISEIOM� IO��Ai <br />�111411�1iOh � / MOtO! <br />� v15 <br />JCLUC1h!:� V`ni�Ir�nl) Clfll✓I <br />o.�t <br />HEATING SVSTEM:" ❑ GAS ❑ E�ECTRIC ❑ <br />w <br />— '/k'e� S -,CS`�'-/3/ <br />I HEPEBY CERTIFv TNAT I HAVE READ �ND EX�MINEO THIS <br />' APPLICATION M1D NNOW THE S�ME TO BE TRUE AND CORRECT ALL <br />� PROVISIONS OF LAWS AND ONOINIINCES GOVERNING THIS TYPE OF <br />2 c WpqN WIIL BE COMPIIED WITM WHETMER SPECIFIED MEPEIN OR <br />+onertecxmocoricsi ppT. THE GRANTING OF � PERMIT ppES NOT PRESUME TO GIVE <br />'={)WE AUTHORITY TO VIMATE OR CANCEL THE PROVISiON OF �NV <br />OTMER ST�TE OR LOC�L UW REGUUTINO CONSTRUGTION OR THE <br />- CRi b PERFORM�NCE OF CONSTRUCTION TH11T I AM AUiHORIZEU BY TME <br />� p� �, OWNER OF THIS PROPERTV TO PERFORM TNE WORI( FOR WNICH <br />� APPLICATION IS MADE RNO 1 COMPLY WITH TME ST�TE <br />� CONTq�CTORS LAW IB 2] RCW AND t96.200 WAC <br />tiEx�iMlfn x ✓ �JL� �Pj ��1� <br />:� �•n� n�s i39 w�� <br />C�iY W9NESS lCENS[ NO <br />FEE <br />f <br />fP !FF AFLFlP�NO <br />_ n'zn .�%/2Q.aa <br />7 OvES NO PP�IVNf: <br />5�lE p El W �i <br />SF. P,,,.� �� --- <br />B1if4fN� �/ / 4{I.I��NI'�� <br />❑�FS C'�O _ _ <br />�OdliCw� r��vOrtc� <br />O�I�fP <br />G1111 RIIilUM1:5�I1KM�11C.f <br />CRY OF EVERETT n�ai ir wnn•� <br />LOCALSALES -- <br />1 TAX CODE IS 3f05 IOTAL <br />