Laserfiche WebLink
APPLICATIQ `i FR�R CONSTFiUCT �N <br />TO BG COPAPLETED IN BLACK INK—PLEASE PRINT <br />`I �17`{ <br />PERMIT � <br />BUILDING JEPARTMENT HEATING SVSTEM: J GAS �J ELEC7RIC J___ _ � <br />259 8810 <br />� DEMOLITION �. �. COMBINATION . i BUILDING XMECHANICAL L�.PLUMBING ��� SIGN <br />ov:�:er uni�woness crtv nr w�om[ <br />�'��s1�./ �ar,v io�, ,- /l.•,0,� ,P,v [v .�/f w�- v8aoa ayo-Go39 <br />IENCNi MnILR0�FE55 CIiV 21P PNOH[ <br />Li� <br />GENCMLCO�RflAC10P IA�ItAD�PE55 QiY iIP PNON[ SiRELICE115E• <br />l�il i]11� � <br />UFCMPIIiCqLC0111flACTON MI.4ADD8E55 CItY ZIP FNONE SG1EliCENSE• <br />PIV'AO'FGCGNiRACiDfl NAIIA�DflE55 CRY SiF PNONE SU¢LICENSE• <br />COlIIRACi PflICE O� WORK YI��OOO <br />T� <br />�FSCflIB[ WqiM I.NO SOUMC f WiAGE INVOtVF� <br />rS�f �� //p%(OXi..� �/��✓ `�a � <br />—r� i <br />rrioaoseo ux ov e�.nmmc <br />0„ G � 0,..�. <br />�i:r,aiues aicuo�rowncrcr+rvisMo�rr�oe�owor <br />;�i— CLCCN OF — <br />rnqcs�rr.xio rwuoen <br />74'ln_ �i.n— n?R—i�:. <br />FOR OFFICE USE ONLY: <br />u5E ZOI�E <br />�� �F Of [ANSt <br />�����K�: �. <br />PPE SFpIryNLEFS flE0'0 <br />� <br />SL^ ]EiBACN <br />VAlANTSpE <br />❑ YES ❑ NO <br />amr.ev. xenowu�m�u•: <br />4P6:P <br />o�s[uerir <br />�-�, YES i7 NO <br />��c�cHr i•,Mirnrion <br />CITY OF EVEHETT <br />LOCRLSALES <br />TA%CODE IS 3105 <br />CONUCi PE1150N ANO PIIONE NO. <br />I HEPEBV CERTIFV THAT I HAVE READ ANO E%AMINEO THIS <br />APPLICATION 41lD KNOW THE SAME TO BE TflllE AND CORREGT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TVFE OF <br />�YOflK WILL O[ COMPLETED WITH VlHETHEP SPECIFIED HEFiEIN OR <br />NOT. THE GRANTING OF A PERMIi DOES NOT PRESUME TO GIVE <br />r1UTHORITV TO VIOLATE OR CANC[L THE PROVISIONS OF ANV <br />OTHER STA7E OR LOCAL LAW REGULATIN6 CONSiRUCTION O� THE <br />PERFOF�7ANCE OF CONSTRUCiION. THAT I AM AUTHORIZED 6V TNE <br />OW�lEii OF TMI5 PROPERTY TO PERFOFIA THE WOflK FOR WMICH <br />APPLICATION IS IdADE AND I COMPLV WITH THL STAi[ <br />CONTRACTORS LAW 1d27 RCW AND 256200 WAC. <br />x'%/'`` '—= G..�l� !.- �fg-�'� -.— <br />6WL�ING <br />PWLIBING _ <br />MELHANICAL <br />AOD11iONAl PUN CHEGK <br />OiHEfI <br />StAi[ OUil01NG SURCHnRGE <br />PU�LIC WORNS <br />TOTAL <br />�ae <br />X <br />