Laserfiche WebLink
APPLICATIO;.. FOR CONSTRUC'Tl �N PE�MIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />CATIVG SYSTEM: ❑ GAS O ELECTRIC ❑ <br />BUILDING DEPAflTMENT --- <br />259-8810 <br />L DEMOLITION LI COMBINATION C� BUILDING :_IMECHANICAL I�PLUMBING Ll SIGN <br />ON�N'cll� �,��� MML�DOPE55 ��Q�� CITV ZP ^ PNpNE^ ^ <br />MAILM�PE" ����L./ CIlT ZIP PIqNt <br />,/,o%c _ v/�'« xL '� Ltili,��1'I 9A�ofl 3s3—�793 <br />A11LLM0.' ".5 CIiV ZIP YNNlE <br />[i[NtHPLGVH111.4iIVX M�.�'./W �.��• u� rrnmc +�n�c• ��a�• <br />�Cn�+ll.25 F0�<E55 �0� �`�luElil> �A yJ�/��{/(/� �-1 ] ,,N�/ <br />MECMµiLALCONiPI.LiOP MALL�P�RE55 �[''����M �� air � �PM+nE �J�� STAiEtILENSEI <br />VWUBW6LONiNAGTOP MARL�OFE55 Cltt ZIP PIqNE STALELICENSE� <br />IJ NEW ❑ AU�ITION X� A�TERATION I.I REPAIR I 1 DEMOLITION Il WOOOSTOVE/FRPLINSERT Ll BUIL�INGRELOCATION <br />FWiAGE WVOLVED <br />� SC% FT, <br />fWflCWIES� <br />ior etocK <br />� <br />� <br />TRAV <br />FOR OFFICE USE ONLY: <br />FPpNISEiBAGF NUNSEIOACK <br />USE20NF LOTA11fA <br />rvPEO„l.C�ON1I58lRVI8lF ttifO.i�CON51iAG1 <br />_Y1�1 �V <br />SIZEOFOLDG. NO.OFSiORIES <br />S`►I 'T��. � <br />OLWMNCYlOA� FIPESPPNNLEF; <br />30 WTA I THb <br />NEISON{OPSP�INNIEFS <br />seteuK <br />I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PqOVI510NS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WOBK WILL BE COMPLETED WITH WHETHER SPECIPIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PPES�IME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGUI.ATIN� CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRl1CTION. TH�T I AM AUTHORIZED BY THE <br />OWNEH OF THIS PROPERTY TO PERFOflM THE WORK FOR l'lHICH <br />APPLICATION IS NADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 flCW AND 296200 WAC. <br />x ' ��_____�L�G�2-L� <br />6K�M O�If � <br />vur+ <br />BUILDING <br />W>�VC� W.pVMLLwGWit <br />� � ' � PLUMBINQ <br />vSE`UENui MECHANICAL <br />M/ <br />[ONil�urt�iqN AOOITIONALPUNCNEGK <br />SPPINKIER <br />9 H-1.YSf Gf'Y%�L STATEBUILOINOSURCHARGE <br />CITYOFEVERETT PUBLICIVORNS <br />LOCALSALES <br />TAX COUE IS 3105 rora� <br />! <br />