Laserfiche WebLink
1 <br />� everett <br />ApPLICATIQ"'1 FOR CONSTRUCT� 7N PERMIT � <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />tfr Everpreen <br />CIN OF <br />everett HEATING SYSTEM: S❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259•8810 <br />Cl DEMOLITION I I COMBINATION i I BUILDING IZIPMECHANICAL I IPLUMBING I i SIG <br />M L �DOHESS � G P1 E �5�� <br />R ��� ' <br />� � GITY ZIP PHONE <br />��...�. . A MAILA�DR SS <br />� �nsa�3o.� <br />GIiY <br />cm •�� <br />R�ENSE � <br />LICENSE � <br />�/155 pF WOfiK (� �) <br />Ll NEW ❑ ADDITION— 1�'�TERATION I I REPAIR I I DEMOLITION I I WOODSTOVEIFRPL INSERT I_l BUILDING RELOCATI <br />LONiALTPER50NANDPMONENO. <br />_-____"___......... �1L') . <br />�OT B�OCI( OF <br />FOR OFFlCE USE ONLY: <br />TVPE OF C <br />SRE OF <br />FOR <br />l0T <br />ACiU1l <br />REdO <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXA.MINED THIS ;i� <br />APPLICATION AND KNOW TME SAME TO BE TRUE AND CORR[CT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS �c OF 4 <br />WORK WILI BE COMPLETED WITN WHETHER SPEGFIED H���L-IN OR <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE f <br />AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY ! <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE � <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />i <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br />APPLICATION IS MA�E AND 1 COMPLY WITH THE STATE <br />CONT CTORS LAW IB.27 RCW AND 296200 WAC. � <br />SIGN� EOFGONTR�GTOR AUTIWR�ZEDl1(1ENT UAiE t. <br />� �-l�l � <br />� <br />...___.�......� �cc c un nP1151NES5N�VAE j <br />MC--A/HNDLG UNIfS—H P / I ' <br />FORCED AIR S�STEMS—B T����'�1 E A I � ; <br />UNIT HEATERS—B.T.U. M I _;— , <br />8 <br />$ <br />� <br />e � <br />iIDESETB�CK PUNCHECKNUMBER <br />JACANT SITE FEES <br />BUILOING <br />acuru¢r rwuowuuxcuxrts <br />enuer pLUMBINO <br />BASEMENi MECHANICAL <br />11EIGHT IIMITATION AO�ITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EYERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODEIS 3105 TOTAL <br />a <br />d <br />