Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEHETT, WA 98201 • 257-BB70 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECMAlNCAL ❑ PLUMSMHi ❑ 31GN <br />PROJECTADDRESS ;' �n/ 7 1-I� �fl�"' I Ci NO� .`'I ✓G C L/F/'F� <br />� I"rlcc� .2�/5 /-1,r.l,Ic.�cl ,9va t�rGTT 77f.cui �rc7- <br />MCNO[Cip1�C5qNER M�II�DDME55 GIY IP PNONE <br />GCNE�4Cd11R�ClOq M/.M1�OONCSS CIiY 2P PMdE Si�1E�rENSE• <br />uECNANiC4CONiRAC10R N�4�OOP65 ���Y Z4' N�M'E SiAiEISEME• <br />KV4B�NGCONiR�CtOR u1n�p0uE55 L�iv IiV R41E Stl.tEI�CENSF• <br />DFSL11iBE WOPM�NO <br />HEATING SYSTEM: ❑ 6�S ❑ ELECTNIC ❑ <br />Cp1l�GfPEA50�1�ND1'NON[1q <br />I HEREBY CERTIFY TMAT I HAVE READ AND E%AMINEO TNIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE M!D CARRECT. ALL <br />vrovossousu or xmmnn pROVISIONS OF UK'S AND ORDINANCES GOVERNING TMIS TYPE OF <br />WORK WILL PE COMPLIED WITH W1IETMER SPECIFIED MEREIN OR <br />icauocscnr�ronarnna'cnrvisrawHeciavon�**�cntwocoorts� NOi. THE GRANTING OF A PERMIT OOES NOT PHESUME TO GIVE <br />ipr piocx a AUTMORITV TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br />OTHER STATE OR LOCAI IAW REGUUTIN� CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION.7HAT I AM AUTFqRIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TME WORN FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITM TME STATE <br />r�ncc, tu io rvuuazn C9NTRACTORS LAW 1B27A6W AND Y96200 WAC. <br />/ <br />ca�smu <br />FOR OFFICE USE ONLY: <br />S <br />S�IXSCiB�CR �M1�NfjrtCRMNBEP IfFE IKCFiTNJ <br />-v[s n ra �t� <br />II[q11iLIYIf�1qN MOC��NLLLIM(i 512EC�'14OGTI <br />UN�IS q��ypN] <br />CCCII�.VICV NJClS��SS OCCVP�N1lOW �SL4[Ni ���.µ <br />LPWP <br />❑vE5 ❑1q <br />FmESvnMnILRUC00 �E�SOM ������'W�EGx <br />OM[N <br />�IP[�L1f14FE00 �[�SON <br />$111C &I�I�M�I $UACM�PGE <br />irocorcor�si �uns�mrro�c�er CITYOFEVERE7T i'ue�cwon�s <br />LOCAl8ALE8 <br />,,..� TAX CODE IS J10S TOT�L <br />