Laserfiche WebLink
�PPLICATIO.. FOI� C�DNSYl;UCT�.�N PERM�T °`''''�'" <br />„,E.. ,,,,,, TO BE COMPLETEG IN INK—PLEASE PRINT � <br />CItV CP <br />evereti HEATINGSVSTEIA: J�GAS ❑ELEC7RIC J__—� <br />F,'UILDING DEPARTIdENT <br />259-8810 <br />DEMOLITION ��OMBINATION BUILDING MECHANICAL PLUCdBING _ <br />cwuen u.u�uoa[ss �irv z�e rwxs <br />��Ttr��� 10 /�u�� ?�� zs2-i��� <br />iEN�M1I MAIL )OPE65 CIIV IP VIICNF <br />n�1ELlOf10ESLNE�� IULLI.�DRE55 GrtY IiP PIKWE <br />GL'i1NqLLONiMCTOfl Wd�PE55 [Irv bv PNCNE 110EN5c• <br />U��ILLKCb1iR�ClO AUiI��OFEiS OiY ZiP PN..^tIF IICEHSE• <br />���5//-�' <br />. . MNLAUO(1E55 CIiV IiP PN'JNE IICEHS[� <br />CLA'. G��'�C(Ix <br />NEW . AD�ITION �LTERATION <br />�:OIIIIU^iP�ICFOG\VOPN /OO��V- <br />�rC5��l0E WOIiN n: S�VAl1E f WiAGE II�YCIVED <br />ior <br />FiiyECil.ppllFS$ <br />e�ocx <br />FOR OF� ICE USE ONLY: <br />rnourscre.�cn ne�a•. <br />uS1.lONE LOtA11 <br />n�xnrwx�su:ow.��e rcrcw <br />S.iCaFBLCO M1�OF <br />occurnna�wo �ipes� <br />Ia.ASpq fON SPfltYq EPS <br />'11f.F1:1�V� PI �r�S <br />REPAIR �. OEMOLITION . WOO�STOVEIFRPLINSERT �.. BUIL�INGRELOCATION <br />CONi�f,\ fEPSQY NID VHONE NJ <br />1 HE�EBV CERTIFY THAT 1 MAVE RErD AND EXAh11NED THIS <br />APPLICATIGN �iND KFOW TME SAME TO BE TRUE AND CORPECT. AlL <br />.owonerucwrwncorr5l PROVISIONSOFLAYlSANOOR�INFNCESGOVERNWGTMISTVPEOF <br />WORN WILI Bi°. COMPLETED VlIiH WHETHER SPECIFIED HEREIN OR <br />� f�OT. THE GPAi1TING OF A PERMIT DOES NOT PRESUME TO GNE <br />AUTHORITV TO VIOLATF. OR CANCEL TME PFOVISIONS OF ANV <br />OTHER STATE OR LOCFL LAW REGUUTING WM1STRUCTION OR TME <br />PLflFORMANCE OF CONSTRUCTION. TMAT I AIA AUTHORIZED BY TME <br />OWNER GF THIS PROPERTY TO PERFOHM THE WORK FO� W��ICH <br />APPLICATIOH IS MAOE ANO I COMPLY WITH THE STATE <br />CGNTRACTORS LAW 1827 RCW AND 296200 WAC. <br />.,s.ue.�mso�cor+.a�croacaw*Nomzconccr:r onrc <br />�� <br />/ X -�-- /-i9-� <br />Hn.t� ✓J_�.� �FPLIL� Piv1U5' 65'ICENSENOI�yQOVS'.HFSSNAME <br />SEIBALN <br />omioiuc <br />.1CIWl O[Cnuar npwvnl���M1eRaS ' <br />�oa= p�UM9iNG <br />ES bSEME�Ii MECHANICRI <br />P511E00 uE:CniliwtRNN� FOGIT�ONALPtANCMEGK <br />OtHER <br />STAiE B'JILOiNG SIIRCNAqG[ <br />v_om CITYOfEVENETT PueucwoaKs <br />LOCALSALES <br />TAX COOE IS 37G5 TOTA� <br />rEe <br />