Laserfiche WebLink
� <br />IM Ew�pn�n <br />GT/ OF <br />everett <br />BUILDING DEPT. <br />269•8745 <br />APPLICATION FC�it <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />� COMBINATION ❑ BUILDING ❑ MECHANICAL <br />everen <br />� <br />❑ PLUMBING ❑ SIGN <br />OWNER MAIL�DOflE&4 Citt ZIP PMONE <br />Leseley Cosntruction, Inc. 18204 Bothell Everett Hwy N2 Bothell 98012 481-8866 <br />I1qLH1iECTOR0E810NER MAILADDflESS CIiV ZIP PMONE <br />Design Consultants 745-6569 <br />OENEMIGONTMCiOR 1MULAUDRE33 CITY 21P P110NE IICENSE� <br />Lessley Construction, Inc. LESSLI#210PK <br />MECHANIGILCONTMCTOq GWLAODflESS CITV ZIP PNONE IICEN4E1 <br />Same <br />KUMBINOGONTflACTOR MAILADUHESS • CIiY 21P PMONE LIGENSE• <br />Robinson Pl�mbing 747-9858 <br />C1�S80f WOflK <br />rl .��.., fl •nmm�u I-I al TFii1TION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />USEOFBUILUIN[i I HEREBY CEflTIFY THAT I HAVE REAO AND EXAMIN�D THIS AP <br />. PL ICATION ANO K NOW THE ShM E TO BE TRUE AND CORRECT. ALI <br />�� LEGALDEBCN�VTIONOFP110PEXTY�BMOWNBELOWORATTACHFOUHCOPIESj pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />� OF WORK WILL BE COMPLETED WITH WH[THEfl SPECIFIED HERE <br />' �or ��a�oc�—oF 11 w r k Gl IN OR NOT. THE GRANTING OF A PERMITDOES NOT PHESUME TC <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF <br />' ANYOTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTIOD <br />, OR THE PERFORMANCE OF CONSTFUCTION. <br />1507 Slst P1. S.W., Everett <br />SI6N�TUqE OF CONTfl�CTOfl Ofl AUTHO71ZE0 �GENT DA E <br />X - T x � 3 �9 ��'F, <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />