Laserfiche WebLink
�.�� <br />qIY OF <br />everett <br />BUILDING DEPAFTMENT <br />25f1•8745 <br />��.PPLICATION FO..� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK • PLEAStF PRINT <br />❑ GEMOLITION x�l COMaINAT10N ❑ BUILDING ❑ MECHFINICAL ❑ PLUMBING D SIGN <br />OWNEP M�IL�V�NL43 ITV ZIP PHONE <br />Lessley Const:ruction, Inc. 18204 Bothell Everett ffwy i12 Bothell 98012 481-8866 <br />•PGHIfEL10RUE510NER /? r.�wnnvvncaa ..... _.. .___ <br />���P'iIC/'!1 iT41iLC.���C]f��S �s�s�� <br />GENEA�LGONtM�10R M�ILAO�PESS Cltt 21P PHONE LESSLt�'�i$�K <br />Lessley ConstrucCion, Inc. <br />MfC1UNiGLCONIP�CIOq MML�DONE55 ,CIIY ZIP PHONE LICEHSE• <br />Same <br />VLIIMBiN7LON1R�CiON M�ILAODFE55 Cltt 21P �'�'�IO�FbCo LIGENSE• <br />Robinson Plumbing � o�o <br />❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ UEMOLITION ❑ WOOOSTO�'E/FPPL.INSERT ❑ BUILDING RELOCATION <br />iORK ICOSI O� MR�E Ri�LS PLUS IABORI <br />OESCPm[�YonN <br />S:ngle family dwelling <br />USE O� BWICiNG <br />< <br />IEG�I DFSCRIPf10N OF PROPEPlYISHOWN 6ELOW OR �1T�GH FOUP <br />33 Willow Creek Glen <br />LOI�_ BLOCK—OF <br />FROJC.C.iRODRE55 <br />1403 Slst Pl. E.k'. <br />PLUMBINO <br />NO. 1YPE OF FI%TURE <br />" WATERCLOSETI701LED <br />/ PATHTUB .__ <br />Z. LRVAIUHVIWASHBASINI <br />SHOWER <br />� Kli(:HEN SINN 8 OISP. <br />UFC LOHE <br />I HEREBY CERTIFY THAT I HAVE READ A�VD EXAMINED THIS AP• <br />PLICATION AND KNOW THE gAMETO BETRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND OHDINANCES GOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIii�ATE OR CANCEI THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SION�TURE OF CQP1iRACTOR OR AUTHORI7.ED AGENT , OA/E <br />I�1 <br />LIGENSE NO. <br />REFRIGERAT�ONUNITS—M.P_EA_ _ <br />M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />NERR SEIB�Ck <br />OCCUP�NCY <br />NO U! <br />VLANSCNEGNE� <br />SIDE SEIB�CM1 <br />VaCI.IT SITE <br />OYES ONO <br />NO. OF DWELLINO UN!�4 <br />M�%-0CC. LO�D <br />�PPR. fOR ISSU�NLE BY <br />�6 /�C3S3 <br />FEE9 <br />BUILOINQ <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENAL7Y <br />T0T11L <br />PLRN GHLCN i [E <br />FEE �� � RECEIPINO <br />V11LU�TIOH� FEE <br />S <br />