Laserfiche WebLink
APPLICATI� FOR CONSTRUCT�N PERMIT <br />cm oF �Aerr • eui�rnnui oms�oN � <br />3200 CEDM STREET • EVERETf; WA 98201 •(425) 25 i-BB10 <br />❑ DEMOLITION O COMSNIATION C3� SUILONIG ❑ YECMANICAL ❑ VLUAASMI6 ❑ SION <br />PROJECT ADDRE88: ��0 �7E/KiLTso �.VO �4Y1Rc.'Ti �.//,i 9�203 <br />Ourv�,c- -- C.sw� <br />rr�[nucm�n�c�w ww�uo�[sf rn. >�r nrrt ��utikr+sr. <br />1FCM�MCKCb�tu�C10P 4M�IAaE55 fliv !m 1ryqNf tt�rFI�CFMSE� <br />PIUYlMGI'd1�MM:�OA V�R�Cdll[SS Clry IW >I�p�F Sf�iE10EMN• <br />usrnu w� �un <br />l01 SIOCF � <br />ipffi9n.wrD <br />PNICEI�/��0 MMEN <br />u.7i_nnn-nna- <br />FOR OFFICE USE ONLY: <br />�nnw�vin�rv�// nr.nsriek:�/ <br />IIGF <br />s�oc srie.c. <br />�� s � <br />❑YFS <br />,���„�����r��A�� i �,��„���� s,tEa��rt� <br />Y�M �II'9�.13 <br />�rr� n �:ovo <br />�'� <br />•.,`OY!$ �n <br />CRY OF EVENI <br />LOC�LS�LE <br />S TAl( CODE IS J <br />MEATINO SYSTEM: CY6AS ❑ EIECTRIC ❑ <br />�y� S/3 - o76b (kos; <br />� HEREBY CER7IFY SNAT I N�VE NEAO I1N0 E%�MINED TMIS <br />APPIIC.\TqN �ND KNOW TNE SAIAE i0 BE TRUE �NO CONRECT All <br />PROVISIONS OF UWS AND ORDMANCES GOVEtNNNfi THIS TVGE OF <br />Nqi1R WRL BE COMPLIED WITM WMETHER SPEGFIEO MEREIN OR <br />NOT. TNE ORANTING OF A PERMtT OOES NDT Pi1E5UME TO OIVE <br />�UTHORITY TO VIOLATE OR C�NCEL THE PROVISION OF I1NY <br />OTHER ST�TE OR lOG1L ��W f:EWIAiMq CONSTRUCTqN OR THE <br />PERFORM�NCE OF CONSTRUCTION. TN�T 1 I1M AUT110RIZEU BY TNE <br />OWNER OF TMIS PROPENTY TO PERFORM T11E WON( FOR WMICM <br />�PPLIC�TION IS MADE AND I COMPLY W1TN THE ST�TE <br />CONTMCTORS UW IBY7 RCW AND 7%200 WAC. <br />� iyC/��/C J775�.� S/J�98 <br />s�•(OlJNfi(� o �t <br />Ci11M15ME551iCF�L MD <br />P�A�M� <br />ryuunn16 __'__' <br />4f1:M�NX'4 — <br />�CpIKWN ry�Y1:l�r�t <br />U�nf� <br />[luf Ri�nU�vf Sn�[ruMt <br />M1)PIIf.M•INFi <br />TOTAL <br />FfE <br />nrcnr�rq <br />FEEwn <br />�04 ,D� <br />___.._y3_; �lv <br />—_ �1 �W_ <br />� Sb <br />