Laserfiche WebLink
rn. eY+ro�n <br />GITY OF <br />everett <br />;�:PPLIeATION FO� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPIETED IN BLACK INK— PLEASE PRINT <br />everen <br />e <br />BUILDING DEPT. <br />259•8745 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />pWNEH MRILAOORES$ CITY 21P �MONE <br />j�Cnl l�lli=LSFnf� � j � Li�ujy.� "�n (�,_%�� [��.- ;•i iT -<<:c� ,'7 <-.�'— 3! �j <br />.__.�........�..cc�euco NAUA�DRE55 CI1Y ZIP PNONE <br />GENEPALCONTRNCTOR MAilP0�RE5S CiiV 21P FMONE ��CENSEe <br />_�-�F� %. -:/� '� ''� .'J�' <br />r., j- �/l )Cy .j,� S- i%CO CC.n.vdec/£jNL <br />( � ' � � � — ' ��... � no PNONC LICENSE • <br />PIUMBINOCONiRACTOR AI�ILAD�R[55 Cltt Z6' PNONE IIGGNSE• � <br />cl Ass ar wonn <br />d%(jE�y ❑ AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLIfION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCnTION <br />VRIWTION 0% WORN�GOST OP MATERIALS VWS LRBO <br />__=____-• ` lES�G�' � <br />OESCRIBE wONN <br />1 I — � <br />C c' - S 1 R c.: % /✓? i.. �'/ _ ! / .: /''� `/ I . � — C.,. - /' _ <br />/tr.'',�.1....i�,�/ — `� <br />LEGAI DESCRIPTION OF PFOPERtY15NOWN f <br />�? ; � lY <br />LpT_B�OC •Ic 1:�.OF l �, r <br />NO. <br />- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />� �.�-.i r..� pLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />C iOURCOPIE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />� "�"' �n`J`,��'�� NFORNOTNTHEGRAN'TINGO APIERMITDOE NOTPP.ESUMETO <br />GIVE AU?HORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTi7UCT10N <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIdNATURE OF GONTRACTOR OR AUTHORIZEO AGENT DAtE L• '.? 1" <br />/,: � f, <br />, <br />X `i� I • ��%, •� � .�.... � <br />ACVUCINTS LITY BUSINESS LIC[NSF NO. <br />� .: / X-� 9/= . - . <br />OF <br />NO. <br />AIR <br />THIS PORTION TO BE COMPLETED BY BUILDING DEP7. PERSONNEL <br />FRONTSET04CK AEPflSETBPLN SIDESET9ACK PLANGNECh MBER <br />N CN[CN FEC <br />��.0 � o�-C� � lS� � g, r$3g� FE[ � RECEIPT NO. � <br />IISEZONE LOtARER yqCANT51 E FEE8 VFLIIRTION FEE <br />G � ❑YES �IO <br />'f�-3 �;C�� <br />TVPEOFCONST. OCGUP/R�NLYGROUP NO.OFpW.(t�LLINGUNITS <br />,L � � NQ ^S �� /-� BUILOING S�� � � <br />SiZE Oi BIOG. � NO.OF STORIES MA%.00G LOAO � w <br />' �� a\ h/�A� FLUM�ING c: <br />/,.' � J <br />MECNFNICPL � <br />PlANS <br />� <br />/� <br />OTHER <br />PENALTY <br />FORISSUPnGetlr <br />TOTAL <br />�•�G <br />'. / <br />