|
APPLICATI� FOR CONSTRUCT�N PERMIT/�
<br />CITY OF EVERETT � dUILDRJG DIVISION �•ao -a g 1,��
<br />3200 CEDAR STREEI � EVEPFR, WA 98201 •(425) 257-8610 Q� � q Q�i � F��rr�
<br />� i DEMOUTION [i COMBINAT N � BUILDING ❑ M CHANICAL ❑ PLUMBING ❑ SIGN
<br />PROJECTADDRESS: �Z9��1__�II'��J S�
<br />wS�b1G-Au'r(�DRCI`( gF�VERQ.ir' 3j07_[a(,SSY_R�>Fi EVFsi�;i" q87�No,f_qtf}SDS^1103
<br />n
<br />�7tc
<br />rn.
<br />�,� ���,.<<���.���.���� �.,�.��,��.s
<br />�.���..,��.�«•,�����„� �,.,...��5;--
<br />i:��emiqmv�n.[�,n p.�.v�nCss
<br />1
<br />i'��I�n�CtnniC[ U� Vn R
<br />� �658 (�m0 (�
<br />rr r,cn.vr won. nr�� �purui r run.c� r��� i vt n
<br />.ET-�S�t _ lM�° Ro J�ZrI£N7'S` E
<br />f1Mt7f� FN�:�:..9PE'=.� -L��N
<br />_%tiU4Tl— F9r"(.!�-`(��k.4ST,
<br />i � r.�. ri �cr,�rn�n� a���,o�rnir �s�awu e� i mx ni� •
<br />i i '_"__ ni.�['.F �� __ �r�
<br />GRs4A.>L%�1(�J _�jJ_-�.g_� V_J' 1
<br />P� 7`t_ x�C..s9� 57N�Et*�
<br />rnn.n n, i n .urvn�n
<br />L�CO J_— i(lA/-. �Itl() �f9!]/(
<br />�ISP
<br />riv ' n.snr CZmG)G'3-110
<br />�» y�E_.�_#�m $G.,4m.�.�,��4 49to4_.
<br />�,��„�. -
<br />:12FN5E•
<br />F IILC�iSf �
<br />� Y GFS uELECTRIC ❑
<br />rAs����vr uc---
<br />��r�l�.__RD_N1lh9� iZp��Gz3-IIo�j-
<br />I IIERE�Y CEP"°Y iHAi I NAVE REAO AND ERAMINEO THIS
<br />APPLICATION'� � 1_�IOW THE SAME TO pE TRUE FNO COPHEGT A��
<br />PROViF'Ok5 a. �....•10 OR�VlANCES GOVERN'NG T1115 tYPE OF
<br />WORK \:.L L; ".'IF..IEO WItH WHETHER SPECIFlEU H[RE�N OR
<br />IiOi. THE f.,�A,.'�.�, 1 pF A PERIAIT DOES NOT PRESUM[ TO GrvC
<br />FUTHORIIY TO CiOLATE OR CANCEI. THE PROVISION OF qNY
<br />OiNER STATE OR LOCAL L/W RECULA�ING CONSTRUGiION OR TME
<br />�'ERFORMANCE O� WNSTRUGTION TIIFi I AM /+UTMOR12ED OY LHE
<br />OWNER Gf TIIIS PRO�ERTY TO P"'ORM 7HE WOPN FOR WHiQI
<br />IIPPLICATIpN IS MApE Aflp � JMPLV WITM TNE SiFTF.
<br />CONiqACTORS LFW 1B 2l RGW ANU A6I00 WAC
<br />at. eus��rt ss ucnn[ r:o
<br />MECHRNICAL
<br />'�'..1.__'--'_— TOTALFEE E
<br />FOR OfFICE USE ONLY: 5fC%�
<br />n'I 1 j f1.P4x 51)fSFIBU P4xG[CM' t1
<br />�v' �� ��
<br />� vnc� .: n � PCES
<br />�//� � n �s ❑ �, �
<br />.„i viui �.n C� �Jlwnn.n: fit o� muc�n _' "—
<br />,-r- 2 vd2e�t�'s -,.— -- --
<br />� �� ����,.�����,.�, �.����..� ,,,.�.
<br />(_,),f'-1 1--� 02 _ �-JfJ<'Ct�-vrr• o,�•;j �Zy.�, =-
<br />���� d.:...����.i;c-- nv.�m �S �lN�'�S /C�I.tf(��''n on�c�otiun�.�o�ra
<br />%i 1�— (
<br />r cn�
<br />{�9CJ .��.:• �-L C� �-2 3 cuq n�in i s c.��:a
<br />���,, �.m rt s�rrnnvrnm CITVOFEVERETT rqcwrn� /
<br />TnL I LOCAL SALES � f
<br />�/ - N I,.� c'�?y i'Y . Tnx coor is a,os rorai
<br />: - - '---._ i--- —
<br />tl,�. . � n„ � f-n�. . ?7��5� �1'r i�c�,r �
<br />FEE
<br />SUBTOTAL 5
<br />PERMIT 5
<br />_ iOTAL FEE 5 y_
<br />,�� 94 9� �«<,�,,,o
<br />�VFLURTION FEE
<br />�,_�n — _--
<br />
|