Laserfiche WebLink
4` 90 IS <br />APPLICATI� FOR CON�TRUC�ON PERMIT <br />CIT' OF EVERETT • BUILDiNG DIVISION � <br />3200 CEOAR STREET • EVERETT, WA 98201 •(425) 257-BB70 <br />❑ DEMi�LiT10N 6(COMBINATION BUILDING � MErHANICAL ❑ vLUM81NO ❑ SION <br />PROJF.CTAC�DRcSS:�4oq Nl � ��_ --- <br />�i,�_�.e� ltaer-- rA.�� •�� .�s� �� 7 - <br />fn vu�100u[55 On 1R r+O�r <br />IIH1N� U41 �flp�f55 f.1�Y IIP f1�OM[ <br />�11[Nl(Clqlp($IfWl1� Y41�A'TIf55 <br />rw nc<anu�np� <br />•1�z Uon'� <br />frt SCOipf w <br />CO45fPIK1�OM 1O�N I fNf1F0 eq u[55 f(I f l'��OME MWPP� <br />WATEF CLOSET <br />SI/OWE9 <br />FOR OFFICE USE ONLY: <br />II1ryNtVtP�fY f1fM$f1R�CS <br />IISf104( Ip11Nt• <br />r�O6�a�NiV.pU4 Wnpwlll�4G <br />II4i1 V <br />rwt+uuuntuo - <br />LIIY <br />)�� <br />rvm�.� <br />HEATING SYSTEM: 16�GAS ❑ EIECTRIC ❑ <br />[b11�C1 M I�SM �Mf� �rNWf Np /y/y/�I [ <br />_.-_llt/—F�-__A� <br />.c.�„_c _.� �/� — <br />I NER[�V CERTIFY THRT I 1!AVE READ AND EM�I.IINEO THIS <br />RPPLICRTION pND MNON THE S0.ME 10 BE TRUE �ND CORRfCT ALL <br />PROVISIO�S OF �qWS AND ORf)INANLES GOVERNING TI/IS TYPE O� <br />WORR WII L BE COMPLIEO WPH WHETNER SPECIFIE� NEFEIN OR <br />N0T TNE GR�NiING OF A PI:RMIi pOES NOT PRESUME TO GNE <br />�USHORI7V TO VIOLATE OII CANCEL TNE 7ROVISIpN f,F �NY <br />0T11ER SiAT[ OR LOCRL LPY! REGUL�TING CONSTRUCTION OR TME <br />PEPFORMANCE O/' Cny5TF7CT10N T/Ui I �M AUTNORRED BY TME <br />OWNER OF T/IIS PROVERTY TO PEFFORM THE WORN FOH N'MICM <br />APPUUiION IS M4fE RNO 1 COMPLY WITH TIIE Si�TE <br />CONTqnCTpRSIAN' IP 21 RLW ANp 296200 WaG <br />x.. . �,�-�--� -���L �,,;,`�- 9�- <br />CII� pUVNCCc IN I N` 1'.(1 <br />RIF <br />IIEATER <br />$�OIS�IP�CM 1'I�N[II((FNVVPIP <br />�2 <br />v�u�.�vt� FEES <br />❑rt5 ❑ m� PutNr.v: <br />S�If O� NDG�� <br />MIIVP�4f -- <br />B�SfVIM1� 4lI.���AN�1 <br />❑rt5 ❑e0 <br />♦pp�M14y q�4pHtn <br />nnrcn <br />V �11 fluaLi`.G g�nO���G[ <br />TCI7YOFEVERETT ����'•��:��+� <br />LOLALSALES <br />AX COOE IS 3105 TOTl1L <br />FEE <br />PERMIT f I <br />TOTRL FEE f % <br />r�� mrrm.rq <br />V�LU�tION FEE <br />' — T <br />_ ___ . ___��_ <br />�_ . 1-�. _. . ._ � <br />