Laserfiche WebLink
APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITV OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />7 <br />�l DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBIN6 ❑ SION <br />PROJECT ADORESS <br />UxucR u�ti�p0uE55 cir� xo v��OrlE <br />1��4i 4S�fl�t�r l]/=�25E/�- 22�Y ��TE ST EcE2E7T ZSP'GQ?/ <br />*Ex+�r unn�oor[ss an xR rrw�rt <br />MCllli[CiQ1pE51CIRP 4�R��IX�[55 CIIY IIV PMJ11E <br />G[NER4CONlN�Gtpa M41��C55 GIY II' VHQI[ SfI�[EICCNSL• <br />E�r . S/-�NuYrtr! YY'.�f L S GB�iaL�' GzcctY.� 2 2L 2 <br />RU4BINGCGNiMCiq1 L1A0.�OJ�C'.5 G1Y IN AKN�L S1�1ElKfNSE• <br />CPIl1UCiPPC[Of Wq1�( <br />pESO��OE WMN�Mp$OJ�PEiWLGE1MIIXl2D <br />fSo sq�r �(�iJSi1a�7�1 <br />�/OhE' tl��N✓' n°�K hA <br />/)/iY�i �%QULi <br />rnoawEo �se or e�i�onr. <br />IfGK CfSLP W iqN 1;f VPCC[RIY 151qWN BLIOW CF �i1KN <br />�o. �lZ e�«. �`� or I.LF <br />� E' L<i 1�1�' <br />� �iS3°l � Ya�/-o�q-, <br />r�ucauuo mmew � <br />CON9RVCipN W�N ICMXi1, /.pF1^ C55 iClEM011E NUMB[N <br />b <br />FOR OFFICE USE ONLV; <br />rnartscie.cK ne.nsc*e�c« <br />L � � zo <br />��E�s,� �-, ,-,.��, <br />�_ z <br />NE�c��i uMn�iun w w mn� n <br />.L�' u.�i�s 1 <br />�1L-/J <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC f 1 <br />CW IACi 1'[PSON I.1N C�1QHC 1Q <br />I MEREBY CERTIFY THAT I HAVE READ AND E%AMINED TNIS <br />APPIJCATION ANO KNOW THE SAIAE TO BE TRUE AND CORRECT ALL <br />PF�VIS�ONS OF LAWS AND ORDIN�NCES GOVERNIYG THIS TYPE OF <br />WORN WiLI 9E GOIdPUEU WITH WHETHER SPECIFIED MEREIN OR <br />NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOR1IY TO VIOLATE OR Cr1NCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW ReGUUTING CONSTRUCTION OR TME <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOPIZED OY THE <br />OWNER OF TMIS PROPERTV TO PEPFORM THE WORN FOR WNICH <br />APPLICRTIO�I IS 1AAOE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1821 RCW r1ND 496200 WAC. <br />x -�^--.r.._ll c....e„ `1��7 —. <br />SqN�1M[ p�lE <br />CItYOUSMC55lKCNSLIN <br />vaa� <br />-.�s ,o i �,��a� <br />s�tc o. eioc+i <br />56 )C RUMPMfi <br />,.� <br />e.s�u�„r ..E��.�., <br />orEs .�+o <br />•oo,�qr,ueuNw[cn <br />otHcn <br />SinE Bua�nu' WF^.��n�E <br />CITYOFEVEHETT r�eir.won.s <br />LOC11L SALES <br />TAX CODE IS �105 TOTAL <br />3 <br />