Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT/ <br />CIN OF EVEHETT • BUILDING DIVIS!G� F� <br />3200 CEDAR STREET • EVERE7T, WA 90201 •(425) 257-8810 M��9�� <br />�/ <br />IeL_ ❑ COMBINATION _p BUILDING ❑ MECHANICAL ❑ VLUMBING ❑ SIGN <br />•nturcCronlMyc4�n uu�R�OniSS urt �m rvRwf <br />.fN1l��t[Otil��fllMl 4����MlnF55 Cil ji� �iM)�f �1�I1110EN5l� <br />T�c. L5�i2I_ ['�roacQ�..x�v �c�_ Sndj'1 : conx;ec*,,,�i <br />4fUuwC0.CO4ID�f.lU� V��I�fMF55 f�iV /iP1 ^^^MJJJp%%%':( (j t�.:i/ijUCEN.[• <br />--.�Y_a ii I./-'�(_Y�_ � <br />M114pIM1LCO111H�f,1CV1 4�'\�q14[55 CIfY jIV f'IqNf 5111{IKENSf• <br />I MEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />�OOLcr wvIX�1 � cOv��ct rrnsov �M rHnr 40 <br />�'' i NEHEBV CERTIFY 1HAT I HAVE READ AND EX�MINED TNIS <br />APPIICQION AND flNOW TNE SAME TO BE TRUE �ND CORRFGT ALL <br />� uv ni nmmi ROVISIONS OF L�WS AkD ORUINANCES GOVERNING TIIIS tVPE OF <br />� ���� IC•� ��� C� �� �R1( WtlL BE COMPLIEO WITH WHETHER SPECIFIEO HEREIN OR <br />�Ec�inEscmvup.o�rnor[arvisrqwxeuowou�n�cniwaton[5� NOT. iHE GRANTING OF A PERMIT ppES NOT PRESVNE TO GIVE <br />im maca a_ AUTNpnITY i0 VIOUTE OR CANCEL THE PROVISION OF �NY <br />OTHER S7�TE OR LOCAL LAW PEGUUTING CONSTftUCTION OR THE <br />PERFOPMANCE OF CONSTRUGTION TM�T I �M AUTMORIZED BY THE <br />OWNER OF THIS PPOPERTY 7D PERFORM TME WORI( FOR WMICM <br />�'� = - APPLICATION IS MRDE RN� I COMPLY WITH TNE STATE <br />ru¢r u� o ty �_r� I_OI' _^M� ��NTRf�O/$lPW 192T�RN0296YOONpC <br />_, l,�l / I I / / <br />FOR OFFICE USE ONLY: <br />i�:��rnr wi�nu <br />�Kimanvnenoa �+aan+vrun.c <br />nvnc <br />ccu�r..r.. x•�,.nuu a.ruvawia.n <br />cuoav <br />fi1�LCrvi'.:nlCPll[�]�p M�GCN <br />I;nj q�nNPl00 � �K�SOV <br />Na <br />: <br />siotu�Mcn n n[c. � ru <br />jv u <br />v.ce��grt FEES <br />o.es ❑ •u nvin.e: <br />g�t[ or eloc't� <br />1'111M�4 � <br />p�S(VI41 VlIN1AY�1 � <br />Ov[5 ❑4n — <br />I�OIIInN�I �'IAM(�M[� <br />n11H� <br />fl�ll P�Fl!)m1:5�1�iC����iGf <br />C�fYOFEVERETT ��w��<��.� <br />LOCAl5ALE5 <br />TA% COOE IS 3105 TOTAL <br />m rnr� w <br />