Laserfiche WebLink
APPLICATIQ., : FOR CONSTRUCT' ,)N PERMIT � <br />TO BE COMPLETED IN BIACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS U ELECTRIC ❑�.A. <br />259-8810 <br />❑ DEMOLIiION U COMBINATION IX BUILDIN(i ❑MECHANICAL ❑PLUMBIN6 U SIGN <br />pMEfl WLMME53 Cltt IIP RKNE <br />Housing Authortty ot the Ctty of Everett, 1401 Poplar, Everett, 1YA 98201 258-9222 <br />iEMY(f WL�OURE55 ���� I�P p� <br />Same <br />.woness <br />2722 Colby, Suite A607, Everett, WA 98201 259-1560 <br />601-291-582 0 <br />f��ElKENSE� <br />YEC,WIK'lLGOMI Cfp1 WL�OME53 CIiV I�P CIqNE SI�clKENSE• <br />Pl11MNpCCNiMCiOP WIMqlE53 [IlY IF 1'NONE SI�fElN:E115C♦ <br />CPRRK'1 %IICE OF NWVI <br />��ece�l`aneous �nter�or0.`�lus or <br />s. . an exter or alterations <br />efdstin0 3-hnd�nnm unite in� <br />aceessiblllty. <br />vnovouo ust as euawa <br />Low-Inenmw Hnuein <br />lE0.LL O[SGMPipN Oi PIIWENIY I� �lbX pl AtIK'N <br />ior eioa or — <br />(See Attached) <br />vurcci *iu i o. w�xn <br />CqI51RULiCNIOW lfN0E0.�OpiFSS.IFLERtlNEM1�BFN <br />FOR OFFlCE USE ONLV: <br />rnaxrsEfe.0 pt�nstt�e.uc <br />USE Zd4 lOf MEA <br />Iv�tp6!.� w.asstp+¢5 <br />V N r <br />S�IEOfll00. MIESORMtlEP511EO9 <br />� y s .Fr <br />OCCYFIJK�IOW iWEIit�PYNE00 <br />/ll �iAJ I YC It <br />PG5011 <br />Muusr ww urnov[oev <br />� <br />wr[ y. �S. S <br />❑ YES � NO <br />[wn awo+n�si <br />❑ YES <br />ruc cooe <br />N(ckerson <br />I HEREBY CERTIFY THAT i I1AVE READ AND E%AMINED TMIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. RLl <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TME GRANTING OF A PEHMIT OOES NOT PRESUME TO OIVE <br />AUTHORI7Y TO VIOLATE OR CANCE� THE PROVISIONS OF ANY <br />OTHEIt STATE Ofl LOC�L UW REGUUTING CANSTRUCTION OR TME <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTXORQED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WMICH <br />�PPLICATION IS MADE AND I COIAPLY WITH THE STATE <br />CONTMCTORS LAW 1&27 RC W AND 2962qO WAC. <br />BV�LOiNG <br />a.weirw <br />MECIUNICI�L <br />AOOITIONALPtANGNEGK <br />on�en <br />ST�TE BUIlOW65URCHAHGE <br />PUBIIC WOpKS <br />TOTAL <br />