Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT <br />CITV OF EVERETT • BUILDING DIVISION � <br />3200 CEOAR STREET • EVERETT, WA 98201 • 258•88f 0 ��'� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN6 jY� MECMANICAL ❑ PLUMBING ❑ SHiN <br />PROJECTADORES5:.32q SI�S� Sl.i <br />, I i ��_ _..4�/ _.i r tl .�d ...._'_ _ _ ".n—.i <br />IENUlT YNIIiWPf55 f.I1Y l�� <br />•PCMI[C�IX111E51(Nf�1 Y111�11(N1E5$ GIM1 ill <br />GEMf�µCONIO�Clp1 pYl•opn{55 Li1V )il` <br />r �i i/ f h� J l i, n c�n . ib ... r /� a. <br />MU40MGCONIP�f.�IX1 N9lAppPE55 CIIY I�� M�ONf Sl�iEIICEMSF� <br />Y � l t—. � u� <br />raoucE imavEo <br />w* eioc. <br />PARLEIIIiFIp MIYBER <br />Cp15�MICiION l0/J11E110E11. �UD�F.•v5. tEl[AKK�[ NUM0E�1 <br />ORINKING FOUNTAIN <br />SINK <br />FOR OFFICE USE ONLY: <br />USf IONF <br />11{I�i�ll'.141�AI�ON <br />CLCUC�AC� MJ M <br />� <br />FEE <br />PERMIT f <br />HEATING SVSTEM: �.GAS ❑ ELECTRIC ❑ <br />I HEREBY CERTIFV THAT I HAVE REpO ANO E%AMINEO THIS <br />APPLICATION M!D KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS AND ORDINMICES GOVERNING THIS 7YPE OF <br />WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br />N07. iHE OP�NTING OF A PERMIT OOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br />OTIIER STA7E OR LOCRL LAW REGUUTING CONSTRUCTION OR TNE <br />PEPfORMqNCE OF CONSTRUCTION. TMAT I AM �UTMOflIZEO BV THE <br />OWNER OF THIS PflOPERiY TO PERFORM THE WORK FOR WNICH <br />APPLIC.OTION IS MAOE AND I COMPLY WITN THE ST�TE <br />CONTRACTORS LAW 1817 RCW AND 296200 WAC. <br />z�/� r�� �,,,�. � ti-.: 3-� � <br />5 . ��IINE D�iE <br />LrtYBUVVE55lCENSC1q <br />UNIT HEATERS <br />GAS PIPING <br />101 tI�FA V�UN� SIIF Y[[5 <br />❑VE$ ❑NU �IIIIf11Mli <br />nU b pWFIONG SIIE W BlIX:rtl <br />11NIIC f'111Y110.(i <br />OLCUCAN�l0�0 B�SEMfNI MFb��NiCGI <br />❑vF5 ❑NO — <br />11f�5(MI �I)INIIl11��IMANl:IIICk � <br />omFn <br />RE�GnM <br />(IAt[ PIIII IliNli 511f1t:ll��E <br />rvnHc�rrnw[nxr CITVOFEVERETT rvnncwnnes <br />LOCALSALES <br />,,,,, TA% CODE IS 3105 roTnL <br />S <br />HFf.FIPlIq <br />