Laserfiche WebLink
� � � <br />,o�x <br />�H(Hi� <br />H�� <br />�H�. <br />ti�J N '�J <br />V1 H <br />Hrp� �tpi� <br />l'J � C'I <br />H C7 <br />��g <br />(i]Y q(�] <br />�Htj1 <br />HH <br />g� <br />H <br />C] t7 [/� <br />� � L�7 <br />2 H Cn <br />H O V� <br />� <br />FR019�EUE�cTT �TIL17Y SERt�"tg T0� 6535011 ��- ➢EC 18� 1991 1�57PM P.�2 <br />/�PPLICATIO�►1 FOR CON�iRa,1�i���d f�ER�y11'�' even�tt <br />me e�•ey�onn TO BE COMPLETEb IN INK—PLEASE I�RINT <br />CITY Uf <br />everefi L <br />�UILDING DEPARTh1[NT <br />259-�810 <br />f 1 DEMOLITION � i COM6INATION <br />o,�„ A _. n A�4��An�ntss -- <br />onoesmr;en 6mnADOhESS <br />HEATING SYSTEPd: U GAS ❑ C-LECTRIC ❑ <br />A� <br />I I pUILDINO �4J MECHANICAL <br />ciTr ziF <br />� � PLUtdBING � SIGN <br />lE —� ��— <br />3a-3_ �3_�30� <br />�E � LU�11 s�.S--.S..o.[� <br />cnr ZIP PHONE VCEtbE/ <br />Q��lw eLs-�c� �?�� �ao S��a�,. � v��'A, �i �z� OL�(FIPSAICILR <br />MEMAqICqIGOIITOpCfOR M1IAI�ADUFI@SS (;pY 21P p1101:E LICEN$Ee <br />PWhINWCCON1R6pipH AUILAGDNE55 CITY ZIP � PHONE IIvENSE� <br />4�c as�urvron� -.. — . .--- <br />JEW �.i AbDI710N f 1 ALTERATION i 1 REFAIq U DEtdOLI'ION LI WOODS70VElFRPL IIJSERi , 6UILDING RELOCATIUN <br />�—� co,a<crrEnsor�uror �u��. n <br />CGNiR4C:TPAICEOFW`UN � Q-�0.....��/.���.� ����G �AnC�A� (nC�-i�O� <br />LUI <br />rna�crnooaF&s <br />rnovcatt <br />owcv, <br />FOR OFFICE USE ONLY: <br />FpON76t1BACK NEMSETBnC/: <br />useia¢ �iornaEa <br />lYP[nfGU�d6AlLON'ABIk 1Y�FC�FCO�ISIA: <br />EIZE UF BLDO IIOAF STORIPS <br />OCCIIGdI1CYLOAU FIREFPRNY.IER! <br />IN7qnEuv <br />or <br />I N�=RE6Y CERTIFY THAT I HAVE REAU AND E%AMINED 7HI5 <br />APPLICATION ANp NNOW THE SAIdE TO DE TRUE AND CORRECL ALL <br />roUnepeiES� PRbVI510Y5 OF LAWS AND OR�INANCES GOVERNING TFIIS TYP[ OF <br />WCRK WILI BE COMPI,ETE� WITH V�HETH[Gi SPEGFIED HEREIN OR <br />--- I:CT. THE GRAWTIIdG OF A PERMIT DOE5 NOT PRESUI.tE TO GIV[ <br />AUTHORITV TO VIOLATE OR CAIJCEI THE PROVISIONS OF ANY <br />OLiER S7A7E OR LOCAL L�IN REQULATING CONSTFUCTION OR TH6 <br />�� PEHFOF11dANCE 06 CONSTRUCTION. 7HAT I A61 AUTHORIZED DY THE <br />\. OWNER OF TiiiS PROPEHTY TO PERFORM ThIE WORK FOR WHICH <br />100-� , �--/—�-- APPI.ICAT�OIJ IS 1.1AbE AND I COAIPLY WITH TFIE STA7E <br />'� 1 CONTR T RS LAW /6.27 RCW AND 296.200 WAC. <br />�1 _ 6i0N�TUP ONiR'CiOR �1AV GnREDAGGNT UATE /� <br />X. � ' <br />1NT6 GIiY BUSINE95 UC[q5C NO AI:O [+pCINE55 NMIC <br />=�L2 <br />ANICAL <br />TYPE OF EpUIP1�IENT <br />A/C—A/HNDLG UNI7S--H P. <br />fORCEO Alli SYSTEMS—B.T.U. M EA. <br />11NITNEATfRS—b,7.U. hi <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RI.IJGE HODD <br />JJA7ER HEATER � <br />�v000 srove <br />NETAL FiREPLACE d CHIFdNEY <br />5 <br />$ <br />SIDESE70ACY, PLANCMECN6UTAOCR <br />.'�%O�J <br />vncnr�r 6iiF FEE3 <br />6Uaowc <br />�qnM1;r H).WU'Mll'AOIIVI6 — <br />�"'"d� FWIdo�NJ <br />aascuEqT AIECHANICAL � <br />NEIOHIUMiTATION AUOITIONALPIANCHEGK <br />OT�1ER <br />STATE ftWLDR10 SURCIIAR(iE <br />CITY OF [VERETT PUBIIC WORKS <br />LOCALSALGS <br />1N(C00[IS 3105 �orn� <br />PEfltAIT S <br />TOThL FEE 5 <br />