Laserfiche WebLink
APPLICATIO� FOR CONSTRUCT�N PERMIT <br />CfTY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREIT, WA 98201 •(425) 257•8810 <br />❑ OEMOLITION ❑ COMBINATION /� BUILDINO „ ❑ MEr„yANICAL ❑ PLUMBM6 ❑ SION <br />b <br />z <br />•nc�nttctonoESWvrn uui�px�[55 nrr nr rwpwF <br />��F]S •` <br />%4 �K�NiI�Y <br />PI114pMGCON1P�CtOR M�Il�Cp165 Ciry jtP >NpYF SiAifICEN•u[� <br />�o� e�ati <br />FOR OFFICE USE ONLY: <br />rac»rtvrn+c+ x.nsrre.c. <br />U$FlOM{ 101�u[• <br />NFIGM��IMI��11O4 NO(RUWFlL1�10 <br />IINrK <br />ri <br />vK�„1 L�E <br />O�ES ❑NO <br />Slt( OI EIDG�II <br />OHS ❑NO <br />HEIITINO SYSTEM: � GAS ❑ ELECTRIC ❑ <br />con��Cr vtnsw u10 ridrt rq <br />I MEREBY CER7IFY TH�T 1 H�VE READ �ND EIt�MINED TNiS <br />APPLI;,�TION AND RNOW THE SAME TO BE TRUE AND CORRECT ��� <br />PROVISIONS OF L�WS ANOORDINANCES GOVERNING THIS TYPE OF <br />WORN WILL BE CAMPUED WITN WHETHER SPEpfIED HEREIN OH <br />NOT. THE ORANTING OF A PERMIT DDES NOT PRESUAIE TO OIVE <br />�UiMORITY TO VIOUTE OR CANCEL THE PROVISION OF 11NY <br />OTHER STATE OR LOC/�L L�W RE6UUTIN(i CONSTRUCTqN Oq THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM �UTMORIZED BY TlIQ <br />OWNER OF TMIS PROPENTY TO PERFORM TME WORR FOR WHICN <br />�PPLICATION IS M11DE �N� I COMPLv WITM THE STIITE <br />CONTR�CTORS LAW 1027 RCW AND 798200 WAC. <br />GIY MISiMF55liCFM[ M <br />euid.x: <br />hIM111N0 <br />E'{f,N�NiL�I <br />�DdbOM�l. M �N CMC <br />OlH(P <br />SIMC RIIi1DmO5V�10���f.[ <br />M11111f. Wb��C <br />ioT�� <br />{ <br />