Laserfiche WebLink
APPLICAT�N FOR CONSTRU(:OION PERMIY�,��}��• <br />CIN OF EVERETT • BUILDING DIVISION �,_�'/�,.T <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-0810 ��`�""' <br />❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />❑ DEMOLITION ❑ COM9INATION ❑ BUILDING <br />PROJECTADORESS ���� yvY.�;�V�. Eveieta�j ��`• 9Se�U/ <br />OWI:E11 MiULAppPE55 GiY $N oNOM1L <br />l�e�ersv���^i�rL 727 /dovf �teCe�Li/[ 9�'ROIv�xE U7S-339-/762 <br />TENI,Ni N.VLAL0PE55 � <br />I.f1CHIt6iORDE5IGNEP IMILADpPE55 ��TY ZW PHONE <br />GENER0.00 iON LILOflE55 /G%I�L s Y���EV. NWYZPHl3 !O'/ �O�N.I SIALELIC'U6E1^uT.,'rc. <br />•�/� t <br />PLUMOINGCONiRACiOR Y4L�OOPE55 Clb ZiP PHP4E Si�lEL2@bE� <br />WNIPALTPPqEOFWtlfllt ` '�J <br />/�O ui�. ,�33 <br />�ESCfliBE WDRB LNO SWARE FCONGE I.VQVEO <br />-n.✓o ftv Ac//'�F b- 974 SF <br />�F <br />_31n ��//L/� / BrI LJ • <br />�/�r <br />' i��- ?fi� �r-f t�'1 [G�'K _r � / i� <br />PPO [�VSEOFBVRDING / <br />�S r� � KI 711�iaL�- FAMIIY <br />irc��oss eiviroaoranweam�s�wwr�ee�owoAenecnnw�oriesi <br />wr _ eiae o� <br />GMCELTACID.NIIMBER <br />-�588-/37-0/9 � <br />rnr�cinoLiiOx LOAN ICNOEP.100RE55. TEIEPHONE NUYDEN <br />FOR OFFICE USE ONLY: <br />Fnor+rS=roAG�{ i n[r.as[i�KO i sioEseie�yx/ <br />U `> <br />usezor+e _/ L01""EjCpO V�ores� )s,uo <br />�v <br />ncimrtuurtnrwn rroovoweurt+c saeora�or✓ri <br />UNII$ (� � � <br />OLCUFINGY 1qCi5iGPE5 CCLUP/.NTlOID B�5[YENi � <br />Gt��P3 � ❑YES VNO <br />1 <br />�1.1 ��„��I�L] <br />HEATING SYSTEM: R GAS ❑ ELECTRIC ❑ <br />COMACiPEPW11N1pP110NE Np. <br />I HEREBY CERTIFY THAT I MAVE READ AND EXAMWEO TNIS <br />APPLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORD�""'CES GOVERNING THIS T'PE Of <br />WORK WILI BE COMPLIED W' - THER SPECIFIEO HEREIN OR <br />NOT. THE GRANI'ING OF A PEH � .ES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR Cn�iJEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANGE OF CONSTRUCTION. THAT I AM AUTHOFIZED �Y THE <br />OWNER OF THIS PPOFERiY TO PERFORM THE V�ORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1B 27 RCW AND 29fi200 WAC. <br />x-4��u.�i �e%�' %:.z-oo _ <br />SIGN�N(1E � DRE <br />GiiY ¢USiNE55 LiCENSE NO <br />ewmwc <br />ttuuenm <br />MECNPNiC0. <br />wonroHuvv.�a[cK <br />OiNCP <br />SiAiF BWlDllq $UFCNARGE <br />CITYOFEVERETT we�nwoFKs — <br />LOCALSALES <br />TAX COOE IS 9105 TOTPL <br />� <br />� <br />0C <br />