Laserfiche WebLink
IN HaprMn <br />Cltt OF <br />�verett <br />BUILDING DEPARIMENT <br />259-8745 <br />AP!'LICATION FOR <br />CG�NSTRUC7lON <br />PERM1�' <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />everen <br />� <br />❑ QEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER IAAILAUOFE55 . GITY ' ZIP PNONE <br />GENE AND SOE CiASSER 102 BEE��y ST., EVERETT WA 98203 347-4082 <br />AFCHitECTOROESIGNER MniLA��qE55 LITY ZIP PMONE <br />GARY PARKINSON 527 MEDICAL DENTAL BLDG/2722 COLBY AVE., EVERETT,-WA 98201 252-2153 <br />GENEPALCONTPACTON MRILR�OflE55 ��TY ZiP PNONE LiCENSE� <br />(7^I[dER�NOTE: CIX�'PACT Q�dNER C/0 JIPt WILKINSON G917 EVERGREEN WAY, EVERFIT WA 98203 353-7770) <br />MECM�NiCALGONTHACtOq M�IL�OOPE55 CITY ZIP PHONE IICENSE� <br />� BE DETF�2MINED <br />VLUMBING LONiR4CTOR MAIL R�OPE57 CIiY 21P PIIONE LICENSE • <br />TO BE DETERMINED <br />CLASS OF WOflN <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ DUILDING RELOCATION <br />V� W ATiON CF WONN �GOST�/OF MaIERULS P W 5 LABONI <br />y� �\�� �/ ('1 � _ <br />OESC(iIBC WON6 <br />OrFICE SPACE PLGS 6 F�PARTDIENTS W/ GARAGES <br />EGAL OESLRIPIION OF PROPEPTY �SIIOW N �ELOW OR �TT�CH FO�R COPIE51 <br />ta t0 ... __ CAnYR ADDTTION TO BEVERLY <br />CITY OF EVERETT, COONTSt OF <br />�ii <br />1 <br />GARAGES & 2 CARPORTS, 398 FINISHED BASEMENT. <br />I HEREBY CERTIFY THAT I HAVE READ AND [XAMINED THIS AP- <br />PLICATIOM P ND KNUW THE SAMETO BETRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND OFiDINANCES GOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WIIETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRcSUME TO <br />GIVE AUTHORITY TO VIOLATE CR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. q p y <br />S: rNATURE OF LONTflRCiOR OR AUTHORI2E� AGENT DA7E �({ �J �1 '!/(! <br />l� i=' y� .G'/ <br />APPLIGANTS CITY OUSiNl55 <br />THIS PORTION TO BE COMPLETtD BY BUILDING DEPT. PERSONNEL <br />�',_j_,T-1 H � <br />ie oF aioc <br />- s i0 �7 <br />�O 1 5i <br />'� VeC�NTSIiE <br />Y_ �Za_� OYESLIQO <br />-�. R-► . ,y <br />PL�NCMEGK NM6ER <br />Q� �� / I I FEE <br />� V/ <br />FEG9 <br />UNITS <br />� BUILOING <br />rnnx. occ �o�o <br />� � � PLUM011.__ <br />MECHANICI.L <br />OTMEq <br />PENALTY <br />APPR. FOR ISSUANCE 6Y <br />TOTAL <br />I � r � <br />i � � � <br />/r '/• ? _ <br />PLAN CHECN FEE <br />L� PEC[IPL NO �'7' I C� <br />.7 7_J <br />FEE , <br />i . <br />� :� '!i <br />Sc� <br />