Laserfiche WebLink
� APPLICATI� FOR CONSTiiUC�ON PERMIT///����� <br />CITY OF EVEREff • BUILDING DIVISION r/v��_ <br />3200 CEDAR STREET • EVERETT, W� 90201 • 259•8810 ��o9err <br />� <br />❑ DEMOLITION O COMBINATION ❑�1 BUILDING ❑ MECMANICAL ❑ PLUMBING ��GN <br />PROJECTAODRESS: �32-I �VtSe�i� �inPl,L WA'y <br />VmiEn MULeODnEsS Urv t�r r�q4[ <br />C�vr� Pn��Ftc-Con-+• 17.c1 3.�! a�,c-S..:k3ioo $w�.t}t�.W{l `18�a I <br />1FN.Wi VutA0p�E55 GIY PP PIqNf <br />N�p <br />�rrc:�.�ce� mocs�e��n uui wonEu cin nr rrror.e D W� r� � V 5e7 b Vn ( <br />DW.f.LI� 5 V�su.�.-f Svt�re..� 814 L�(�l, ai,e S. Sek�ia., wA 9813 y ao� - z��--BY��S <br />GfMEMICQWlIKIpi 4utA04fIf55 GIY bP P�WMF i1E�EUCLNSE� <br />MELNuaULfANInALIqI M.aIMq�F55 OIY bP 1'12wC FIA�ElKENSf• <br />hUWWGCONIPeC�q1 WulAW11E55 G1Y bF 1'IqMF SIe1ElIC[MSC• <br />-rcrn�- 1b7.4� <br />ioi � ��aK <br />r: <br />FOR OFFICE USE ONLY: <br />iRONI5El0ALN AEN15Ei11.�CN S�bf 5E16�.C. <br />n1-!� oJ A .J A <br />YSEId�E /� lOt��U VdCANI511E <br />— � � ' ❑YES NO <br />I�E liiwlenox �taow[ILUM LtEO/otU0.T1 <br />� 'UIY Jii <br />OCCuvM'LY M p S�M[S OCCUPNI� 10�10 BASEUENi <br />G11qIP <br />�YLS ❑MJ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />�-�-��-- 88�5 <br />I HEFE�Y CERTIFY 7MAT I HAVE READ AND c%AMINED TMIS <br />APPUCATION PN� KNOW THE SAME 70 BE TRUE ANC CORREG: AlL <br />PROVISIONS OF UWS AN� OPOINMlCES GOVEFNING TNIS TYAE OF <br />WORN WILI DE COMPLIED WI:H WHET7IER SPECIFI[D HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHGRITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTMER STATE OF LGCaL LAW REG'.'UTING CONSTPUCTIJN OR THE <br />PERFORMANLC OF CONSTRUCTION. i1fAT I AM AUfNOflIZED OY THE <br />OWNER OF TMIS PROPERiY TO PERFORM TME WORK FOR WHICH <br />APPLICATION IS MA�E ANO I COMPLY WITN THE STATE <br />WNTRACTORS UW 1027 RCW AND 296.200 WAC. <br />x „�..., -t��,,:�.�'1- s-- 9 - � <br />$IGNAI U��[ <br />LIIY OVYNESS lKEMSE NO <br />I TOTAIFEE tI <br />Ru�bffO Nuorn r[R ntf.F�rlxo <br />--GYS h . / <br />FEES VALUATION <br />ouiwxr. <br />rwwowc � <br />4[CIUN�GL _ <br />AWy�qNAl M1NI CIIl.L�( <br />omcn G ict,i.. 3. o00 � � <br />SI�IC ONl Wrt <br />foar CITVOFEVERETT ruoir.wo�+s <br />L LOCALSALES <br />` I�°� TAX CODE IS �105 707AL <br />