Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT <br />CIIY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8810 <br />I ❑ OEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ 81UN <br />.�Mn�Ic�MMs�cnO� 4�OUH�uHS O6 lm r.qN — <br />fi(/�N/!U14C(1NIp1llpll NUI�MM�[S: C�h !�� pWYIC G4t11�CEN5{� <br />I bi���_l��i <br />4{b��WUlCO4II1�^.1p� 4��l1fAME55 bfV )�P Mqtif [I�1(lK[M$E� <br />�`�III.MMGCO�I1N�f.1CV1 y�K1qY1E55 Clry I�P pIN}1{ S���fIKfNSF• <br />�nn sw.nr � oaucr rnoivm <br />ioi _ e�aca a_ <br />ru¢ft u. i o uu4pt n <br />cWC�n��CrroM�o�Mlr nYllY�lSir[ttnro4E <br />FOR OFFICE USE ONIY: <br />IIION�YiP�4 �f��y�P�CM <br />nsi tovr munu <br />��OGu�l��i11�q\ k0 b IM'110� <br />IlYil\ <br />riaE <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />carn.cr n nsa�.rn nro�r r.o <br />I NEREBY CEFTIFY TH�T 1 NAVE RERD �ND EXAMINED THIS <br />APP:ICFTION AND NNOW TNE SA1JE TO BE TRUE ANO CORRECT ALL <br />PPOVISIONS OF LAWS �NO ORDINA'iCES GOVERNING TNIS TYPE OF <br />WOPK W�IL BE COMPlIEO WITH WMETHER SPECIFIED HEAEIN OR <br />NOT THE GRANTING OF � PERM17 DOES NO7 PRESUME TO GIVE <br />AUTMORITV TO VIpUTE OH CANCEL THE PROVIS�ON OF 11NV <br />0711ER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE O( CONSTRUCTION iHAT I �M �UTNORIZED BY Tr1E <br />OWNER OF Th115 PROPERTY TO PERFORM THE WORN FOR WNICH <br />RPPLICATION IS MADE AND I COMPLY WITN TNE STATE <br />CONT CIORSLAWIB2)RCWRND296200WAC <br />x %/ov�.<r��9� /�/d / /L 3 �1 <br />�!(��IU1f 0 1[ <br />01� pV4MS5lSlM4[ HO <br />IINIT <br />� <br />xsne•c. n•unrtc.vuwrn <br />Cm..,-, , n. <br />m�s o M, <br />❑\[4 ON7 <br />crrr <br />RIR <br />P�1�@M'. <br />M1��W �f. <br />Vi1�M4\N �1 <br />�mimwi nwa�r� <br />���Hn <br />[nll 11UnU�Mti S�M6nM.( <br />M1TIN'.W(N��C <br />TOT�I �'"-- <br />S <br />nf�rirtWa <br />I <br />__.��.� -� I <br />