Laserfiche WebLink
� � <br />_.��I��d�- <br />���.E��.� ����. .. .�. _._...__P;:.�.. _.:..__.�._._: ._.._���-___-�-�--� <br />�__ IEL�C7`RI+�AL P���I`� �P��.I�ATIt�N <br />;� <br />-: ` CiT`Y OF EVERETT P��N(IT SERVICES <br />3200 CEDAR STRE�T, �VERr.�TF, WP� 9820�1 ' <br />42a�25T�86'EO - FAX 425-257-8�7 "-wwW.everettwa.org <br />�__;.� � 1 �ir`,t�.�,�.��` 1��F ,�� ( � � � riM� � � ��..�`��; W "..'i- ��.� � � <br />PROJ�CT ADDRESS <br />��t� .,1 +t� u�in� c, ���-ta �.t�r�-t <br />C3vorter Mail Addreas City 9tateCL�Z Phone <br />�� _�. _._.. _ .._� _ _. <br />'�'6t1&rtt Ma(I Address CItY ' 8tat�2(p , Phon� <br />� } �D� � �t �5- ��,�� ►.R � � <br />�.-n�� �i�,1�°�-��. � .�� -�� � �- ��.��. <br />qecttical Contractor MailAdcirass C�y Stehe2ip Phone <br />�lV��'�$'t�.5 42€ Z.L1$ <br />� Staie Licensa Numper�(requlred� ���� �� � �� � Cfty;of Everett Bualqeas Llcense yur�ber (�equiredj <br />�c� �. � ��2�3.f�t� <br />+'� ��� �� � � Propoeed Use�of Bullding � � � �ontrac} Ptice of Work � <br />u � .� <br />: ;Il���`� U��4L.� k� ii23'21�' 170�} <br />_ . _ _� � ._ ��._ �. <br />Square Footage (If'reeidential new constfiicllon, �emodel o� addition) Contaat Persoru�Contact Mumber/Email <br />__ ._�..._! ' n — <br />mbe o devlces if (ow voft �" e <br />Nu r ( 9 ) , <br />Desctipilan of Work to He Done: �� ___I"�tJ� `�' t`�•� �L�-C� � t�T i/� �. ��-��I 1 ��x 1 <br />FEE <br />CiTY OF EVERETT LOCRL SA�.E a TAX CODE IS 3105 t�/�' <br />� � �,: �', ..•�' <br />I.>e"r�eby cerdJY that 1 have rea�f �?nd e'x`amined fhls ePpllaaBo� and knaw the s,�me to be tnre and ��. <br />camect Atf pmvls(ons of laws and ord/nances goveming this fype of wottc y�lll be compleied <br />whatherspechied heroln ornot. The grantfig of a permit �1oas not prasume'fo give eutt�orlfy to PERMi'j"# <br />vfc�late orcancel tfre pravlstorts ofany ofherstafe arlocallp4Yreguledrtggonsiructfort orfhe ��» ��h �^ <br />p�rformanca of constn.�ciion. That t em aufhortz�d by the owner af fhls property ta perfbrm tha E I 4�� t! �(� <br />wor�s fat whlcit applic�tion Is m�cle andJ camply w(th the 5fafe Cantn3cfot� �aw f8.27 RCW t�nd <br />_�.._._..... <br />296:200 WAC. <br />�.e,�.�-- �'�`�'- (� <br />\� _._. Slgna ura Rata <br />REi+ISWO&�3tli10f4 .. . . .. ... .. ... . � . . . �. . . . <br />..._... ..........._._. _.._........_... m_......__.�_....... ..... ._._�..___________._________.._.. ._.. ......__.. _....._�....__._.._....._ <br />____. um�t`�Ni ._ __ ___ _ —_ ,__ ��"�y'1 �'�r'�t� <br />