Laserfiche WebLink
APPLICATI� FOR CONS1'RUC�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8810 �J--- <br />❑ �EMOLRION ❑ COMBINATION (ffi BUILDING ❑ MECHANICAL O PLUMBINfi ❑ SIQN <br />PROJECTADDRESS: /t0 / �07 3i^A J� <br />� .o � �._. -.�w IL C___//- a1a�... /NLt`1 LS],i-rG� <br />Q�� <br />iENANf u41 Nd2E5 Utr tiv NqNf <br />�, lJ. II II ,,1: <br />•1CA�*fGtOf�flEVPiFn u�nADIX+Ess t��r !m rrpqf <br />� � <br />Gf�N^f11µ�CON111/.G�PI NuI�OMf55 Cliv h1' hwn[ �I�IIIIC(NSf• <br />A� <br />MFLN�MIC�Lf.ONIR1L1pP M���ppCaE55 f.liY IiP 1'IqNf $I�fFl2FN5E• <br />RIIMpMGC0�OR1C1M 4uUpp1E5$ Cltt IIP PM'JNF $���FIILFMR• <br />�oit �1�1�G eiocat7tn��o <br />covs�nikriar1 �a�H �[rq[n. u <br />/• `iV <br />CLOSET <br />FOR OFFICE USE ONLY: <br />rwu:�uir�ca nnnsr�e�cc <br />WflONf IOIMF• <br />IIFIG��IIi411��� NOCipW[IOHG <br />ovnv <br />nea'o <br />�vl`! (lf f.0'i51 <br />� �N <br />MEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />"°, aas-u�- <br />I HEREBY CERTIFV TNqT I MAVE READ AND E%AMINED TMIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS �ND ORDINANCES GOVERNING TNIS TYPE OF <br />WOHK WIIL BE COMPLIED WITH WHETHER SPECIFIE� HEREIN OR <br />NOT. THE ORANTING OF A PERMIT DOES NOf PPESUME TO 61VE <br />AUTIiOHITV TO VIOLATE OP C�NCEI THE PROVISION OF �NV <br />OTNER STATE OR LOCAL L�W REGULATINQ CONSTRULTION OF THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTNORIZEO BY TNE <br />pWNER OF 7MI5 PflOPERTY TO PERFORM TME WORN FOR WMICM <br />APPLICATION IS MADE �ND I COMPLY WITH THE STATE <br />CONTRACTORS UW 1827 RCW �ND 296200 WRC. <br />X �c �_-- �/��.1 �0 <br />SWNtWE 0��[ <br />GIYlULNESSlCfH5CM0 <br />TOTAL S aun win� a <br />�IIT f PERMIT S <br />IIFEE S TOTALFEE S <br />�U� ti�•� <br />LOESF�B�CM 1'IN�bi[CRNV4Pf /' fGf �fC <br />_V� � <br />vecu+t 9rt FEES VAlU11T10N <br />o.Es o �, Ou�M�: �2� <br />S�ZE 0� EIOGRi <br />5 S wuunwr. _ _ <br />eeu+�E%M mcwmu� <br />Cks o wn — — — <br />�opirtru.i. rtew nrtc. <br />OIIIF� <br /><IAI[ BII�IUINC 51111C11\I[( <br />CRY OF EVEHETT ninur. wanKc <br />LOCALSALES �- <br />> TA% CODE IS 3105 TOTAL <br />