Laserfiche WebLink
IM ErnprMn <br />Gr � <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />'��.PPLICATION FO...-� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION KKCOMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWrvER M�IL�DORE59 CITY ZIP PHON <br />Lessley Construction, Inc. 18204 Bothell everett Hwy #2 Bothell 98012 81-8866 <br />L�CJJ1Cr 1�V11JL1YLl.1Vu� 1�0.• <br />MI i"��Ine1V:q CfIN11UGOq lMII �OD11EA5 LITY ZIV P110NF UCEHAF • <br />Same <br />PLUMBiN.CONIP�GIOR M�ILADORESS CITY 21P PIIONE LICENSE• <br />Robinson Plumbing 743-9858 <br />CL�SS OF WORN <br />C�J NEW ❑ ADDIifON ❑ ALTEPATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ AUILCiNG F7ELOCATION <br />V�LU�110N O•�F W�OPN IC�OyST �Of�M�tERULS PLUS LABOPI <br />_J`' � CtiN <br />OESCHiBE WORN � <br />Single family residence �)�n ���� <br />24 <br />� I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TFIIS AP• <br />PLICATION AN� KtJOW THE SAME TO BE TRUEAND CORRECT. ALL <br />ISHOWNBELOWOR�IT�CHFOUHCOPIES� pqOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br />WillOw Creek Glen OFWOPKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE- <br />IN pF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TU <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIONATURE OF CON1AACipR OR AUTHOR17ED AGENi DqTE <br />PROJECI�ODNE55 <br />1532 Slst P1. S.W. <br />�RUNiSEIB�LN <br />TYPE <br />� <br />DISP. <br />PERMIT <br />9USINE55 LICENSE NO. <br />M <br />:3�3���� <br />THIS PORTION TO BE COMPLETED BY BUII.DING DEPT. PERSONNEL <br />FPE� <br />IYPE Of GON51 <br />NO Of <br />�CG 9r <br />SIOE SET9�GK — <br />VACRN7 SITE <br />OYES ONO <br />NO. OF �WELLING UN <br />MRX OGG LOFD <br />,�PPR.FORISSU�NCE <br />J, �A <br />CUILDING <br />PLUMBING <br />MECHRNICAL <br />OTHER <br />PENALTY <br />TOT�L <br />IM9EP ....�. w...,... « <br />'^�7 FEE �L� RECEIPiNO <br />S � <br />fEES VALUITION FEE <br />5 <br />