Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br />CITY OF EVEFETT • BUILD�NG DIVISION <br />3200 CEDAR STREET • FVERETT, WA 98201 • 257-8810 <br />C7 DEMOLITION ❑ COMBINATION C] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />�ac�mcc*a+ocsavEn unrt�ooacss cirr zn r��o�+c <br />ccrrcnucov.a+c.oa uN ��. .T ...u..� ,. . <br />e'.,�d �,li��j�l, .��Llo�a'77ti�4ue,l��-.4r1 qk,aaa-3tir,�uas-G3��9-CC-6Dldlrj�! ��lcll <br />11ECN�N2�lLONiPI.LLOR 11ARA0DPE5$ LIiY 29 IYIp1E Si�1ELiCCNSE• <br />PlV1A9i1qLCNiR.1LLOR YARADbRE55 LIiY ZW RYJI@ S1E1ElCFNSE� <br />l01 BLOCN <br />P�RCClT411D MIP9CR <br />WNS'PVCIION L041 LE10CN. �OORf55.1E1EP110NE NVIABCP <br />LAVATORV I�VAS <br />SNOIVER <br />NRCHENSMKF <br />GLUTMES <br />FLOOR <br />FOR OFFICE USE ONLY: <br />(PONi5Ei0�Cn PEMS[iO�CK <br />uSC.ONC WteRE� <br />MCAinlliMli�iqy IAOFDIlEl4tA <br />UNIIS <br />a�n�ouicr I� a s�oucs I occur�w �o•o <br />HEATING SYSTEM: f�GAS ❑ ELECTRIC ❑ <br />conr�crrcasox�r�ornorvcrq <br />I HEflEBY CERi1FY TNAT I NAVE READ AND E%AMINED TMIS <br />APPLICAiION AND NNOW THE SFME i0 BE TPUE AND CORPECL ALL <br />PROVISIONS OF LA�YS AND OPDINANCES GOVEPNING THIS TYPE OF <br />WORN WILL �E COMPLIED \YITM WHETNEP SPECIFIED HEFEIN OR <br />NOT. THE GRANTING Of A PERMIT DOES NOi PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CFNCEL TNE PROVISION OF ANV <br />OTMER STATE OR LOCAL LAY! flEGULATING CONSTRUCTION OR THE <br />PERFORMANL[ OF CONSTRUCTION. THAT 1 Ald AUTHORIZEO BV TME <br />OWNER OF TMIS PROPERTY TO PERFORM TNE WORN FOR WMICH <br />APPLICATION IS MADE AN� I COh7PLY WITH TME STATE <br />CONiRACTORS LAW 1027 RCW AND 296200 WAC. <br />u � ��r i2ii Y :1.�c�loa:�� ) � i.3 I ' �, <br />,^.IGN�iURE OAIE ' <br />CIIY pU5�NC55 LKENSL NO <br />AC — A HNDLG UNITS <br />��� <br />METAL FIREPLACE <br />GASRANGE <br />S <br />:lYES ft NO BUM1�1N0 <br />BIDGTI <br />FWMBRq <br />ASi.MENI YECII�NICN. <br />:IYES ❑ NO <br />♦ooitqn�t vW � CNECK <br />OMCR <br />SUiE BW��i�p SW CM/J1GE <br />CITY OF EVEPETT ruoi�c �von.s <br />LOCALSALES — <br />TAX CO�E IS 9105 TOTaI <br />iEE I RECEIPi�q <br />