|
�_a.o-RB
<br />APPLICATII.rI FOR CONSTRUCT.�N PERMIT,/ }�
<br />CIN OF EVEREIT • BUILDING DIVISION �_
<br />3200 CEDAR STREET • EVEREI'f, WA 98201 •(425) 257-8810 M✓o'9�rr
<br />�/
<br />❑ DEMOLI710N ❑ C M�JB�IN" CIONQ � BUIL ING MECHANICAL ❑ PLUMBING ❑ SIGN
<br />PROJECT ADDRESS: __��Cp�Q Zd L�,��es, SJ� _
<br />,,,,., , , � ,, ,,., ,,,, v.,, .�,,,�„ s�
<br />li{CI��r:iL�l CCV111GCIUf1 I/�i� �LW45$
<br />i �upwGCON�N�ROP NM��IqaC55 �
<br />((IHin/.0 1iliC[O�viOnR
<br />�(�o$�� mD (
<br />rr:rrr.er wan«.no �anmt •r�m.c�vcn
<br />_I�iL{"'J�
<br />i mu n[su�i�.u�m cr
<br />im
<br />����
<br />�t�i��e i U `n �+1tli
<br />_ 4�42- En.
<br />coasmvu�an oui n
<br />PLUMBING
<br />NO. T'
<br />WATER C
<br />H�THTUB
<br />—�� LAVATOR'
<br />SNOWEFl
<br />NITCNEN
<br />rnorcnrv m�on�i nuuw w�
<br />oiocK �7 or [
<br />5
<br />d �ISP
<br />IT[M
<br />5
<br />mr�i��
<br />�,�
<br />IICEN4( •
<br />l�C[N$[ •
<br />[ UC[NSF •
<br />❑ ELECTRIC ❑
<br />I HEREpV CERTIFY THAT I MA`/E READ AND E%AMINED THIS
<br />�PPUCATIO�! Aq0 KNOW TNE 5/ME TO DE TPUE AND CORRECT A�L
<br />PFOVISIOt55 0: LA\YS FND O�DIN4HGE5 GOVEPNING THIS TYPE OF
<br />WORN \YII L I�E COMPLIEO \YITN YlHETH[R SPECiFIE� HEREIN OA
<br />HOT. T!IF. GR4NiRlG OF A P[FMII pOES NOT PRESUME TO GIV[
<br />AUiHORIiv TO VIOLATG OF CaNCLL THE PROVIS�ON OF ANV
<br />OTMEF STAiE OR LOGP� LAY! REGUL�TING CONSTNUCTION OR THE
<br />PEf�FO(iIAANC[ Of CONSTRUCTION TIIAT I AM AUTMORIZEO 6Y THE
<br />0'NNER OF TMIS PRO�ERTY 10 PERFOR1d iHE WOFK FOR WNICM
<br />AGPUCATIOtI IS MAOE ANO 1 COMPLY 1YITH THE SiATE
<br />C7ITRPGTORS LNV.' 1P 21 RGYJ AN� 296200 WAC
<br />X�cru�uw. u.�t
<br />C�rv BUSii�EfiS UCU�4 u0
<br />H[qT PUAIP
<br />UIJIi M[�TERS
<br />CLOTMES DPYEF$
<br />FOR OFFICE USE ONLY: ���
<br />�nc��.��n.r.— cf�2sr�,�uc. s�otsna�cn ri.urn�rc.�.��o��in �Q
<br />UV V /J__/v
<br />. .o � an�nn�ir _ FEES_
<br />❑.er n �. � :.r�
<br />„ ., . � � ��,�� G,�, o, „<<�R, � — --
<br />l/d rz ei�'S u „�:_ _ _ —
<br />�•. � ti�.f.-ii���r:� lU 1 BnSf1ICFl I!l�:Il�lnf�l
<br />�:S�e-� � ; a� ��:�� ��. �,.�� �,,.,� —
<br />�,,.��r,.�.,.,,�„ �, - �rr.<,� — — .�a����.���.�����c«
<br />19n___�_____Cr��_�5����sfcr�csrr� �,,,,�
<br />•°�„„ � — —
<br />, ,.� .���.. ,�,..�„ -
<br />�� -- ��� < j000 � .i-(Z 3 ,.,� ��,�,�,�,.,:.,��,,.��,,
<br />��i�.-.� .-:– — ,� ro�,rno. CITYOf-EVERETT m��"r.wo��..� -- /
<br />. -.�.. in.�..�.r
<br />V _�( TnL LOCALSALES ---- Y�
<br />`;...�� �`�S -{�`f TA% CODE IS J705 IOTAL ___
<br />A., �..,.. ..,._. ..�... !,._. . .–
<br />SUO TOTAI 5
<br />FE�hfIT E —�
<br />TOTALiEE S
<br />�r--- nrcnr�uc ._
<br />2?°4,91' —
<br />VALUnTION FEE T_
<br />r,� � 60 _
<br />
|