Laserfiche WebLink
APPLICATIC4 FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259.8810 4Arjlr <br />❑ DEMOLITION ❑ COMBINATION ,� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: t, 121 Ln t....... fi _ .LL <br />[EYIu![ <br />Y4l ALpA.55 <br />a[r )'IP <br />MNMK <br />Anl>EncT an nEsn[rtn <br />4.A ADIAIEss <br />an <br />L/I�i��/fF� RT•rul <br />�'� y9nR <br />/+' <br />/EJA�E7,1 •�,E' �T�YEZE <br />mIDNF <br />YYl1tlY1[ta <br />_.._ <br />9 2n:,' .--?V-'3377 <br />uEMTA4Lµ CONTnALTDn 4A0.AWMss mry <br />7r MqN[ sIAIE 110EN5E[ <br />MUAlNDLONInAL10P MAAApd1E67 aTy <br />lm M9NE STATE IK[NSEA <br />1+ <br />{_, <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />La.0 'K1L'/er 1 O - p,T��lr <br />I IIEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />-mu USE a."0ND Y—=-=�- <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />IEI:ALIlESLnMIInaIYgMnfr lU.ft1..lAluLn I"COnESI <br />- WORK WILL BE COMPLIED WI111 WHETHER SPECIFIED HEREIN OR <br />LOT KnLA <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />M <br />AUTIIORITY 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 AUTNORIZED BY THE <br />OWNER OF TIIIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS M^BE�!1AID I COMPLY WITH THE STATE <br />CONTRACTORS LA 296.200 WAG. <br />•AACElm10 n <br />//Si -�.✓r J79-��� <br />,27 jAND <br />C <br />K <br />X1N9Tn11CTIDIIlOAl1l CNOEn.AppnE55. IF1 n <br />-E�J�/C/�� <br />sx•�Anxz L�MIE <br />clTr mlwEss Ilculsc Iq <br />AIR <br />FOR OFFICE USE ONLY: <br />USE ZONE <br />LOT AMA <br />rALAryl 91[ <br />—yam PEES <br />VALUATION <br />FEE <br />M600li <br />OFFS ONO <br />9ZE OAlErlIISDb7fT <br />I <br />l0v snMEs <br />US.TPP'nA3NiNCxrL <br />ocCUl'[IIMO <br />LOAD <br />6`41Ml <br />_--�1aAN�T � <br />unn[IlrnAlY�an4lA+�A«lnC <br />K <br />mK/ NO <br />1OU11CN1ECFg <br />fnNMo 9 MASONADp11IM1AI nAN LIMf.11 <br />OTMn <br />nM AIMYn[oo <br />nr Aurl <br />SIATE SK I.. 9N1[IYMIE <br />I't CIr. %' <br />PIANSAT1 En DV <br />CITY OF EVERETT <br />nlN <br />1 <br />�., <br />LOC <br />r. rAvua <br />' <br />DATE 9 <br />TAX CODEODE IS 15 31 0105 <br />TOTAL <br />�7 � <br />