Laserfiche WebLink
M� Ewrpr�.n <br />GTY OF <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />i"- <br />`�'+APPLICATION F(r�t <br />� .� <br />� CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION �COM8INATION O BUILDING ❑ MECHANICAL ❑ PLUM8ING ❑ SIGN <br />OWNER M�IL�ODNE55 Gltt IIP PHONE <br />Lessley Ccnstruction, Inc. 18'Z04 Bothell Everett liwy #2 Bothell 98012 481-8866 <br />Lessley Construction, Inc. LESSLI#210PK <br />MELIUNIC�LCONtP�CIOq M�iLADORE55 CIfV 21P PNONE LICENSE• <br />Same <br />PLUMflIN9CONIP�CIOP MAILADORESS CITY ZIP PIIONE 4CENSE• <br />Robinson Plumbing 743-9858 <br />CL�S'a OF WOR1c <br />�%GJEW ❑ AOUITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT G BUIIDING REIOCATION <br />V�W�iION O[ W[lRN ICOST Of MAIEl1UL5 PLU9 UB0111 <br />OE�CRIBE WONIt ' <br />New single <br />use or avaoiNo <br />3 <br />residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIONANG KNOW THE SAME TO BETRUEAND CORRECT. ALL <br />ilV�3NOWNBELOWOHRIT�CNFOURCOP1ESj pROVISIONSOFLAWSANDORDINANCESGOVERNINOTHISTVPE <br />Wi11oW Cieek Glen OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. TH[ GRANTIN6 OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOI.ATE OR CANCEL THE PfiOVISIONS OK <br />ANY OTHER STATE OR LOCAI LAW REGULATINO CONSTFUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />S��NR7URF�OFCONTFACTORORAUTHORIZEDAGENT DA7E <br />i �r v�� <br />� i('1 C - - <br />TYPE OF FI%TURE <br />f�TOILEII <br />SH BASIN) <br />6 DISP. <br />� <br />NO. <br />) Iti�t� ` /� / f �� <br />LICENSE NO. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNE� <br />EIO�Gk NERFSEIBRCK <br />IE LOf RNE� <br />CONST. OCGIIP�NGY GROIIP <br />OIOO. No Of::tORIES <br />� _ . _. <br />PPPUCAIIONRCC BV I�'��NSCIIECNEDBY <br />SI�E SEIBAGN <br />VAC�NT SIIE <br />❑YES pN0 <br />NO. OF 0 W ELLIII <br />MAK.00Q LOAO <br />•PPR. FOR ISSUI <br />BUILDINO <br />PLUMBINO <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTAL <br />'�MBEP � PLRNGHEGItfEE <br />'t�C fEE�� RECEIPTNO. <br />7 / "/ <br />_i_�_ <br />FEES V�LU�TION FEE <br />f <br />� <br />