Laserfiche WebLink
APPLICATI�N FOR CONSTRUC�ON PERMIT� <br />CITY OF EVERETT • BU(LDING DIVISION <br />3200 CEDAR STREET • EVERETT, Wq 98201 • 257-8810 <br />❑ DEMOLITION ❑ COMBINATION pC e'11LDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRES$ <br />Inl It I I�f)Sr L�,_��_. .� I 1� ..__ ,_ <br />i!) `.� �� �� <br />MECINNIC4CCNIR/iCi( <br />C� <br />�(. rw/ue�w�o c�o�H�r�ru�c�mn <br />�J CON1Mf.T Pql�[ p( y�p� <br />OESCNiBE Wq)N ANp 5Qt <br />w <br />�� <br />�/�e�L'._ IK. »t✓,� ✓�. F„!,b !`!�� � p55-v ✓v Je<2�..n�b ouD�-l. <br />�WRE55 G1Y 2P RqxE 5*�LEULEMSE� <br />Uz2 i G F/� /iLY ^�. 1J/1. �IiU yS S� y�l /l'�� <br />�OME55 I.i�Y IV %q11E �t \ SiAiEL416E1 <br />4. /S�ia'�S /YS��.i Jr� ri .. .,.r. 9SG7t �it-S�v' ti -nw .l. <br />�opP[55 4itY v 2p RqN[ ST4ELCENSE� <br />MEATING SYSTEM: GAS ❑ ELECTHIC ❑ <br />ixvavco ..........._..__...._ _ _ <br />D�x FlA/L�� 2/3/ <br />/(� � <br />i�i4l l. /wN. l/ <br />rnonoseo use a ew. ric <br />ior macn ___ a_ _ _ <br />A _ 1�x,.LUy�v3_ _ _ <br />.��� JLr��U1L � c�� <br />ry�c[�� m. �nwecn. . . . ^ _ _ -- <br />F� <br />i UHINFL <br />i DRINKING <br />FOR OFFICE USE ONLY: <br />rnpqi5FTn4x nUnSClo�cq <br />Ln 2a <br />V..CSONC /� � 101�PE1 <br />7O�J <br />IICIGNi 11411�ipN Nj O[ p�V(LLI� <br />� p / UMI15 t� <br />PEflM1T <br />I IIEREBY CERTIFY THAT I NAVE READ ANU E`(AMINED TNIS <br />APPLICATION AND K�OW THE SNME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TYPE OF <br />WORN WILL BE CCVP�IE� WITM WHETHER S!'PCIFIED MEREIh OR <br />NOi THF. GRANTINJ OP A PER611T 00.5 NOT >RESUME TO uIVE <br />AUTHORITV 70 VIOLAIE OR CANCEI THE PROVISIUN OF ANY <br />OTHER STATE OP LOCAL UW REGULITING CONSTRUCTION OR THE <br />PERPOH�dAN :E OP CGNSTRUC710N. TNAT 1 AM �UTHORIZED BY THE <br />OWNER OF THIS PR )FcRTY TO PERFORM THE WORK FOR WMICH <br />APPLICATION IS M�DE AND I COM��Y WITM TNE ST�TE <br />CONTRACT LAW tB27 RCW AND296200 WAC. <br />% / ilS/tf <br />SNYN➢1P �1E � <br />� � "I -[ 't _'J2" <br />Ciir w5u[55 iK[rvs[ w <br />PUMP <br />GASRANGE <br />GAS PIPING <br />INSEPi <br />S�CCSCiB� IJ�IL'SyL�-(.l <br />v.c+.vrsrt[ FEES <br />'k�fs ❑ ra euaowc <br />W C Of Plp(JI I <br />3 S� SS � S F R�B��: <br />wscucHr u�cx�iax <br />❑rEs OFip <br />•Wrt4�uttu�Cr�ECN <br />OLNER <br />Si�}E &RpNC SUNCHUIGE <br />CITYOFEVEqETT ws�cm�nKs <br />LOCALSALES <br />TA% CODE IS 7105 707AL <br />ufCEVI <br />