Laserfiche WebLink
APPLICATI�7 FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUILDINci DIVISION � <br />3200 CEDAR STREET • EVERETL WA BB201 • 259-8810 <br />❑ DEMOLITIWJ L7 y/WARMA710N ❑ BVILDMO ❑ 116p1AlNCAL O PLUMBMN: ❑ fION <br />PROJECTADC'��','.n: .•.v,''Xx-�M�do�Sn� Af.B <br />Susr .R: r• ;4ix 10�/1 C rctf 9F1o3 42s� 308� 4� t f <br />�r - - r.,. � .cnf an tr n.or� <br />tFwr,T uu��ppn[55 an tiv nv1f <br />Yai[CIOPpFSqHFR YµMp11[SS {.YiY jl� qqy <br />7�,5t-4.'+e. ccns+ oo- �r aov3 EcYhF sRa>3 v1f-,3ofr'3�� TIc+R �'`07�13+ <br />GF�ERNCdiMLi01 YN�CqIF55 Clfv lM M11.?'[ i1�1E11RMtE� <br />YFCMIJ�CAlCOM1NnLlOR ,uH.�pp�ESS fJ1V ll� ryqy� <1��EliCFNSE• <br />d <br />sootn[ MvqyEo <br />iot 40 .....,,.aaa ��. <br />MMRSS. RtERqME MMlEP <br />i <br />S <br />FOR OFFlCE USE ONLY: <br />f1pITRIM(Y( PF�qCFiMCM <br />MCliou�l 'Z O ZG <br />us[ m�c� �o� uc. p <br />40(! 5 <br />MF�tv��l�Vt�rroM ruaow[4�rc <br />'�` uH115 7 <br />�j 3- 10 <br />v�c�x�vrE <br />er.Fs o � <br />S�IE O� AOdf I <br />Zoio SF <br />I❑rF5 QTA <br />HEATING SYSTEM: ❑ GAS PIELECTHIC ❑ <br />-3�� <br />1 HEREBY CERTIFV 7H�T I H�VE READ I1N0 E%MIINED THIS <br />APPLIC�TION ANO 1cNOW TME SAME TO BE TRUE AND CORRECT µ� <br />PROVI$�pHS OF LAWS AND OROINANCES UOVE WMlfi 71NS iYPE OF <br />WORN M/ILL BE COMPLIED YYITM WHETNER SPECIflED l/EREIN OR <br />rar. n� owvrtir�a oF � ve�nxr ooEs �qr vnesu� To ave <br />AUTHOHITY TO V�OLATE OP CANCEL TME PNOVISION OF ANY <br />OTHER ST�TE OR lOG1L LAW REOULATINO Cd15TRUCTqN OR iNE <br />PERFQRM�NCE OF CONSTRUCTION. THAT I AM AU711011RED BY TME <br />OWNER OF TMIS PROPEFiV TO PERFORM 7NE WOIK FOq WINC11 <br />APPLICATION IS GU�E AND 1 COMPIY WITH THE STATE <br />CONTRAC S 1B27RCWANU2B6.YOOWAC. <br />X _1-��-CI�I <br />SqM�tURE Mtf <br />ptY MIM52lSEMY Iq <br />IIECII�NLLL <br />C��)�Jfi�-Oo'e <br />ttuNC�4C�1�141[p � <br />� L� <br />FEES <br />.��»«, <br />M���: <br />YFCN�MLµ <br />•odiavu n wcrxc. <br />mr�[n <br />SI�IF BII�IOm(t AMKN��[ <br />CITYOFEVEflEfT n�r,warwc <br />LOCALSALES <br />TAX CODE IS J105 70TAL <br />� <br />� <br />I� <br />