|
APPLICATI� FOR CONSTRUC�N PERN�,IT
<br />CIN OF EVERETI� • BUILDING DIVISION �'��� 8�
<br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8870 B SgSaLS ����errr
<br />'� � DEMOLITION ❑ COMBIN TIO BUIL/O�!J_ G� ❑ ECH NICAL ❑ PLUMBING ❑ SIGN
<br />u.,.�,�.,�=r °� eWY_ R���
<br />PROJECT ADDRESS� _ 7�Q �Z � __�=(J�(.[ _
<br />F'�D`�cl�,fCr AuTHDKRK 9F'GVEf�Fti(�'__�I_ 7-C. r.-CJii+¢F�_-487A_(P)_�tT�jDS���_
<br />�RA4i�U.l_E!� ,. �Zo�,�Z>=i,o�-
<br />inn.n - nu:�ss un ru, n��a.r
<br />"�� rt4��_.9t���.._.�(c w�a�.� A�6•�#?F� 5G_.4tn,eT.,�.4 44rof_.
<br />�71GlcN6-Y -� [tPH�'
<br />I � . �I Mfll�f 55
<br />a ne� os� — — _..
<br />,,,,,,.,,.�.,,,..,�„ M.,�.�„�,�s, — „���«. --
<br />,.,�,,.. �.���,,,,, � � ,,.,�.,,�.,Ess - ;�,�E�sE.
<br />,,,,,,�.,���,,,,,.,:,u� u.,,.��E�� , F,�«�s�. —
<br />, ,.,,,�.�„�,,,�< <„ w,,,,. —
<br />�$�aS� y('pm0 [-'S7; y y X 3A5 ❑ ELECTRIC ❑
<br />. umrwo�+.e �o��,r.�.�,�nipa�vro oeuc*riAsorvnvnm�ovEno
<br />Ef�tSli__ItV'_RoJ@yr,�NiS/�GEP_ ._ �___ �Lli_��-��Mll�� LuCc��o�3-I10�}
<br />F�u(t� F_Att.i� _�F�
<br />t I�.el I)lcCllll`i1011 Q� 1'n01'[Ilrv ISI�OwII P110'
<br />im __ mcK. _� or
<br />- FJQ I ^ Cl`UU ^a�c76�H�
<br />i io�r� i nioFu. umn� sF �n� n�wF vouo[n
<br />PLUMAING
<br />NO�
<br />_` Sr10YlER
<br />LAUNURV TRAY
<br />GLOTHES WnS11ER
<br />_ _ SINN�SERVICE—
<br />PERI./IT S
<br />I HEPEOY CER7IFV i11AT I HAVE REAO ANO E%qlAWEO iHlS
<br />4PPLICRiION AIlO HNOW THE SAME TO �E TRUE A11� CORRECT Atl
<br />PROVISIOtl50F I.AWS AND ORDINqNCES GOVEFNING THIS TYP[ OF
<br />Y/ORK WIIL pE GObIPIIED WIiH VIHHTHER SPECIFIED H[�EI"1 OH
<br />NOT. iHE G�ANTIIIG OF A PERAIIT UOES N01 Pf?ESUME i0 GW[
<br />AUTHORIiV TO VIOLATE OR CANCEL THE �'RGVISION O� ANY
<br />OiNER ST�TE OR LOC�L LAW REGULAiING GONSIRUCTION OF THE
<br />PERFORIA�NGC Of CONSTRIILT10N THAT I A!A AUiHOfi2E0 OY LHE
<br />OWNE9 OF TNIS PPOPtqiV TO PEFlFORM TNE WORK FOF WHICH
<br />APPLICFTIOY IS MADE �.NU I GOMPLY WITH THE SinT[
<br />CONiRACTORS LAW i q pl RCYJ ANp 29fi 200 WAC
<br />r,nr eusnrt �s ur,[ ns[ vu
<br />PERMIT E
<br />TOIALFEE 5 ,
<br />FOR OFFICE USE ONLY: �� ��
<br />..���i �`� rn+.-. --- smt nn¢= ri�x[c�n-:uuirn — ru —�
<br />., ,n, . �C�n�l'j1{' — ro� 22°4,�/�
<br />� �+c -n fFES VAW�TION
<br />�7 1�'�'� n r., ❑ no n c•:
<br />i n ���r. . iir a o<<wa r
<br />V�/2Q/t.�'S ruiur..�. . _"'_
<br />��.. ..,..,, - �wio.n nns�oiv� y�cu�uui
<br />� s F� I, a H� ���ti „� �t �,<< g•.� —
<br />. .. /. ,. .,a,i __ ire.:�.S� �����y� �owurnu nwuucx
<br />�i�l _. �L..�� �/{�Ii15 C�W�c" ni��[n
<br />u�b r .
<br />��� i orLt� � 3000 ��2 3 ,� w,.�„��:,,��,.���.
<br />,�� ��i�c� lii i i:rvrrir �ITYOFEVERETT +�r. rwn���� /
<br />Tn�- LOCAL SALES — �
<br />V-� i �-�ri '� ;J iA% COOE IS 310 I lUiAl _
<br />[L, , n,�� � � �-�n,r= .Ir�cti ,>��rc•� n��
<br />- _— F_.__'.__
<br />_ i �_
<br />�i/�/�. �/-/;W
<br />i_�� G//�P%�
<br />
|