Laserfiche WebLink
APPLICAT�''�N FOR CONSTRUC"ION PERMIT �� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />OASIC: IIOI.I (City_No. T-O_'� 1 <br />HEATINGSYSTFM: GAS UELECfPIG �J___ � <br />�UILOINGDEPARTMENi -- -� -- <br />259 8810 <br />� DEMOLITION ��.�COMBINATION 1 I BUILDING I I MECHANICAL ��. pLUMBING ' SI( <br />� .... 4�III.MXIISS CI1Y )M MXriI <br />�_SIi1.E�1lG�MES� INC. 237 ELM ST EVERETT WA 98203 258-1503 <br />�IN/.Nl 4AL�W11[55 GfV ll� %qNl <br />c�twllti(X1IXS�GNf11 WL�DDI1[.5 CIIY liP ryqNf. <br />�Ar�111�1CCI�IfULIOR M�l��qiLSS GiY IIP qqM 5��\IlYfMSf� <br />_54k�ST IIOMES. INC. 237 EI.M ST EVGIiETT. WA 98203 258-1503 56I,GCI11110KN <br />41[uµF0.CCNIN1Ctp1 M�AACp1L$$ piY ZIV MqM SI�llltfNA� <br />�iliupMCtbllq�L10f1 4/.1/.�bIf55 GIY IIV plqN[ SI�IIIR,INH• <br />�H�..�a:t rnc[ or wn�x <br />40000 <br />:.I ,a��iPe. xOnn 1vO sou�nE 1Mi/.G[ �Nvavfo COXI�ct rf n50N uio wqNt rin <br />�.a.osi n utii u nax nnx: <br />$rt�__ -._ <br />. I�i 1�1' fY�,'IxMty IMVX'1111V�'INIWNIIfIfM'p1A1�1LNlVqCOVM51 <br />� � Ilanabrook Div 3 <br />i niri I I lnv 1 U MIYN 11 <br />-Z-- -wn�ii� cwsei �roaen <br />Z nni��run <br />Z IAVAIORY�WqSH0A51N� <br />- s�owen <br />j NiiGll'NSINNM1DISP <br />j DI!91WASNLO <br />IAUNUHVIOAV <br />1 ClOI11L5 W�5N6R <br />___ -UI11NM._ _.--- <br />fOR OFFICE USE ONLY: <br />n�criiuin�cn menxiwc� <br />�i�,� nw� �' ia� � <br />,,,,�s� �� <br />N,A _ <br />�qiu.� In __—_ <br />f011 <br />o.n <br />�.i-1--���-. _ ._ _ _. . _ _ <br />�indy 258_1503______ <br />I NERG�V CPRTIFV iHpt I II�VL RP�II GND fXAMINIP 1 <br />RPPLICRTION RNp kNOW TH6 5RM1` ip 01' iqUi. �ND f.ORH1.0 l <br />PROVISIONS OF UW$ ANp ORDINPNC[ 5 GOVLRNiNG tH�S 1 YP1 <br />woAK wai oe eoMriereo wm� w�n-u�rn �:ri r.irn n nrm m <br />NOT T��[ GR/NtING OF A PCl1Mi1 IJOI ti NOI PNI SUMf IU t. <br />AUTIIORI7\ TO VIOLFi[ OR f.�NCEI. lllk PROV190N5 OI P <br />OiHEfl STr1i[ OH �OC�L L�W IlEGlllrl".NC CUNSIRUCIION Op ' <br />PERFORMANGE OF CONSTRUCIION. 711AT 1 �M AUiMORl2&D �V I <br />OWNER OF iH15 PROPCRTY TO PERFORM iHG WORN FOR W�� <br />/PPLICATIOM IS MADE AND I COMPLY WIiN 7H[ Si! <br />CONTRACTORS LAW IB:] RCW PND.^9G.^00 WAC <br />Sclec- ❑ =s, 1Nc. <br />,�...,M � � ��' �, ,73 -- <br />i <br />S� d/o (.'� <br />vecro sirt FEES <br />i YGS �l �d0 OWL�M6 <br />�0 P Al11YG Wif <br />��3 RUMBIHG <br />6�.SEufN1 / MEGIANIGM <br />❑ VES M1J NO <br />IRR4NI141411QV �Od110N�lPlANCHfCN <br />SUIE BUIIDING SUNCNAqG[ <br />CITYOFEVERE7T runiicvronKs <br />IOC�L 511LE5 -- <br />TAX COUE IS 3105 ro��� <br />INING� <br />� � � ��� <br />�Ji) — <br />