Laserfiche WebLink
APPLICATI� FOR CONSTRUC�ON PERMIT <br />CITY OF EVEREi7 • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREff, WA 90201 •(425) 257-BB70 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: C d E1I��TC WV�U� 'I,��Ay <br />T� "l�-s �-4� <br />�[H�vi uui+rwnrss <br />•11CHTfCf�l1�($1(AIF}1 � 41�I�OI111F55 <br />� VrI�IVC y <br />�iJ sc�krE. �E� mEe�.L; lLI� E mi�r� V{cs.1 i� �-H�iT 98aa� �-3irt <br />4FCIUNiUlf,p41P1L1UR 4ul�fq�F55 blV )if h�ONf SI�IFUCENiE• <br />'�V� i��CiZO� <br />PI11401NGCONIP�f,fM 4�r���1E55 Cl�r jiv peOM1F Si�1fIK[NSF• <br />CON�MC� 1'IUCE O! W(HiR <br />'� �p HEATING SYSTEM: �d GAS ❑ ELECTRIC ❑ <br />DFSCILBFWJNR1y5W�PlfOOI�GEnIWlKO� ��� . _ CONf1Liv1�SOV�rvOnppviNO � <br />to� <br />oioa <br />WASMER <br />I HEREOY CERTIFY THAT I HAVE PEAD AND EXAMINED TMIS <br />APPUCATION ANO NNOW THE SAME TO OE TRUE AND CORRECT A�� <br />� �'AOVISIONS OF LAWS AND OROINANCES GOVERNING TIIIS TYPE OF <br />WORN WIIL DE COMP�IED WITH WHETHEH SPECIFIED HEREIN OR <br />i ntwomnts NOT. TNE GRANTING OF A PERMIT DOES NOT PPESUAIE TO GIVE <br />AUTHORITY TO VIp�FTE OR CANCEL THE PROVISION OF ANV <br />OTMEH STATE OR LOCAL LAW REGULATING CONSTRUCTIOk OR TNE <br />PEFPORMANCE OP CONSTRUCTION. TNAT I AM AUTHOFIZED BY TNE <br />OWNER OF THIS PROPERiV TO PERFORM TME WORK FOR WHICH <br />APPLICATION IS MADE AND I COMP�V WITH TME SiATE <br />— CONTRACTORS lAW IB 27 RCW AND I96200 WAC <br />iFn X -�� �I�O/7� <br />gGn�IDnc p�it <br />LiiYBULxE55l�f.fN�t �0 <br />OR <br />PERMIi 5 <br />TOTnL FEE E <br />FOR OFFICE USE ONLY: <br />innuivro¢. nr�asnp..c. <br />Ii51lOm � tpl�ul� � <br />��[�(:��1 I'Vil��il�\ �it] ry I�Wllll� <br />�il� <br />oa,ur.v:...���.,�, i.rn�..v�in.n <br />enom• <br />��I�1':�•4;•.�ILHP['1I) f�f�\(Y! <br />i.f:! n1AINt+I':f. 11f�t�7. <br />mr <br />AIR <br />GAS <br />5�o[srre�ce r�/.uO�ECR�Uvnrn <br />wcw�snt FEES <br />❑Y[5 ❑ MV P�Flfllµ'. <br />SitF O� BlM9� - <br />1i14fli4( <br />11�[(4f�1 Vi��.MY.iI'11 . .. . <br />❑HS ❑ NO <br />�oauoM�i ri w nrt u <br />Orv�Fn —.._._ <br />4���1 fl�1�lUM1�I:[Iltlfi1�11(�! <br />CITY OF EVEHETT n�auc wro�.c <br />LOCALSALES -- — <br />TA%CO�E IS J105 7oTaL <br />TOTALFEE S I ��O% ' <br />rer nrrenruo <br />VALUATION FEE <br />—r— <br />