Laserfiche WebLink
APPLICATI�/ FOR CONSTRUCT�JN PERMIT <br />��»ro� TO BE COIJIPLETED IN INK—PLEASE PRINT <br />cm or <br />everett HEATINGSVSTEM: ❑GAS ❑ELECTFIC U — <br />BUILDING DEPARTMENT <br />259-8810 <br />� DEMOLITION � COMBINATON �BU�LDING MECHANICAL . PLUMBING <br />nwrto u�t �OONE55 CIiV 21P FNOME _ <br />MUL <br />IiP <br />•qG�RCC1IX1M5GN[P M�R� w!� G a�. ..,..... / <br />5�/� e��n—��-�' -� �f5_i95� <br />cFt�ER4CW*A/�T� uMll.Dq1[55 Grv I�e ar�ON[ l�G[FSE• <br />S I/� PNJN[ LICENSE • <br />MFCNINIL4CONIN�CTd� MAiAW�L55 CIiY I <br />RWBMGLp1iN�LlOV M/.4�OURE55 ��n' 1�� P��E I�LEN$E� <br />NEW V vpODITION <br />won. <br />ALTERATION <br />.�0 �o <br />nrva�vco <br />ioi .y ,v _ ,� o�oca 6 �� w <br />FOR OFFICE USE ONLY: <br />rnanscie�c+ �+r�ns[rancK <br />LOi /PG <br />1YR01Q1MR4lON�&( � 11tt <br />1ro <br />REPAIF <br />NFNiNI <br />•vlh <br />� <br />everett <br />e <br />SIGN <br />DEMOLITION wODDSTOVEFRPL INSERT I BUILDING RELOCATION <br />�p�t�G* r[nwu �No nqr.� rro <br />I MEREBV CERTIFV THAi I MAVE READ ANO E%AMINED TMIS <br />APPIICAiION AND KNOW TME SPME TO BE TRUE AND CORPECL ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNINCa THIS NPE OF <br />WORN WILL BE COMPLETED WITH WHETHER SPECIFIED MEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT NRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL UW REGULATING CONSTflUCTION OR THE <br />PERFORMANCE OFCONSTRUCTION.THRTIAM AUiHORREDB�THE <br />OWNER OF TMIS PROPERTY i0 PERFORM THE WORN FOR WMICN <br />APPLICATION IS MADE AND I COMPLV WITM THE STATE <br />CONTRACTORS LAW 18.27 RCW ANO 296200 WAC. <br />s��*ua�acartn�croxou�urr�onizeo�r.crvr o�rc <br />'/�i� O�-�=�- S- � � � <br />_�i � <br />APRIGN15C�t LNSEIbANUBU51NE55N�ME <br />J7oc <br />AUilOiNG <br />w n M��mc�� n <br />PWMpING <br />MECN�NIC0. <br />���� RDDIPONAIPIANCHECN <br />OTHER <br />STAIE BUILDIIMa SURCHARGE <br />F EYEflETT PUBUCWONNS <br />LL 511LES <br />ioF IS 9105 roT�� <br />T <br />PERMIT S <br />TOTALFEE S <br />n[C[mirro <br />B97S� y97os' <br />V�W�710N FEE <br />�.DJO S!�Oo <br />9 ; SD <br />