Laserfiche WebLink
APPLICATI� FOR CONSTRUC'1�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />❑ DEMOLITION ❑ COMBINATION �C BUILDING f� MECHANICAL jQ PLURABING G SION <br />PROJECTADDRESS ,�'�� ��-�}�� ��py ��/�} L(J <br />wii <br />o�ocK <br />¢nocu qniese <br />crtr <br />zm <br />HEATING SYSTEM: r7 GAS ❑ ELECTRIC C7 <br />] <br />J J' ��' �� I HEREBY CERTIFY THAT I NAVE PEAO AND E%AMINED TNIS <br />APFLICATION AND NNOW iHE SAME TO BE TRUE AND CORRECT. ALL <br />�.�n��� PROVISIONS OF LAWS AND OR�INANCES 60VERNINQ TMIS TYPE OF <br />� WORK N'ILL OE COMP�IED WITM WHETHER SPECIFIED HEREIN OR <br />iowrne;rqnNptari[=.i NOT THE GRANTING OF A PERMIT f�ES NOT PRESUME TO GIVE <br />pr AUTHORITY TO VIOLAiE OR CANCEL THE PROVISION OF ANY <br />OT/IER STATE OR LOCAL LAW REGOLATINO CONSTRUCTION OR THE <br />I PERFOfiMAACE OF CONSTRUCTION. iHAT I AM AUTNOR2ED BV THE <br />OWNER OF TNIS PROPERTY TO PERFORM TNE WORN PO(i WHICH <br />APPUCATION IS lAADE AND I COMPLV WITH TME STATE <br />CONTRACTORS W Ig.2� PCN' AND 296200 WAC. <br />�Z OTi �J �/ <br />PIqNE NUMOiP x ��`� ( � � ( � B / <br />SiGN�tUaE OME <br />CIIY NUSIMESS lC[NSC Iq <br />FOR OFFICE USE ONLV: <br />fRON15CiB�Ln PE�FSCtB�CR <br />/ � T � <br />l/�I <br />vtioN[ iot�nl:. <br />/L -S <br />��bGNtOMiltlpN IqClONCIIING <br />�/Q � IMIi$ <br />nii <br />o�iE <br />STOVE <br />NV40CR <br />[1YC5 '� NO gU��O.NG <br />SIIG 0( BlPil l — <br />53 5. M°°^'^�° <br />o.s�ucm uccN�Mn:�� <br />f:VCS f] NO <br />IW�IpN4 CI�N CN6R <br />O1NER <br />S1IiE &IIIpNG SUPLN�nfi[ <br />qTYOFEVFREI'f we.crmnRs <br />LOCALSALES <br />TAX CODE iS J105 TOT�L <br />� I RlCC�VINJ <br />