Laserfiche WebLink
APPLICATIO� FOR CONSTRUCT�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREff, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDIIjG ❑ MECHANICAI ❑ PLUMBIN6 ❑ SIGN <br />.......�..� ....,..�..... �'7% cJ — 9i'i-!h . S � <br />�....��. ....-�,,..» � ,..,. ... .._.. i/�r.� -�/�'iT 7Y/J <br />"7 <br />iEN�v� - uuieWnEsS nrv )iv rrqw[ <br />�ncrxiruon�sic��w uuurnncss a�r nr rnp,v — <br />CrfN[P4fOY1Mf.ip1 MVt�IXID[55 C�M1 I�� IV�OV( G41LliCENSF� <br />IIFO�+NrUI Cn•Iln�f.lOn 4ul R%N�f.55 Llh I��' t910Nf S1�lF I�CEN$E � <br />4'111YBIIIfiCOillR�fICR MY1Ai1[111f5$ CItY IIP PNG1f 51/.IFIICfMS{ I <br />I trtscnip[wonweansnu��E�oaucfivvavCo <br />i �oi <br />uv <br />HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br />Cor,ucr vrnsov Arm rwr rro <br />I HEREBY CERTIFY THAT I HAVE READ AND EX�MINEO THIS <br />APP�ICATION AND NNOW THE SAME TO BE TRl1E AND COFNECT µ� <br />'���n�"" PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI$ TVPE OF <br />WORN W�LL BE COMPLIED W�TH WHETMER SPECIFIED HEFEIN OR <br />wnriw�enrv�s�aw+�Auowon�necn�woconcsi NOL TME GRANTING OF A PERMIT OOES NOT PRESUME TO GNE <br />_ e�ax or AUTHORITY TO VIOLATE Ofl CANCEL THE PPOVISION OF ANY <br />OTIIER STATE OR LOCAL LAW REGUUTING CONSTRl1CTION OR TME <br />PERFORMANCE OF GONSTRUCTION. THI1T 1 AM rIUTHOHIZEO BY TME <br />OWNER OF TMIS PHOPERTY TO PERFORM TME WOHK FOR WMICH <br />qPPLICATION IS MADE AND I COMPLV WITH TME STQE <br />pE�� CONTRnCTORSIAW IB 27 RGW RND 296200 WFC. <br />�_ �G/i./1l�:-Mn� <br />TVPE OF <br />SMOWER <br />z <br />sicv�urc o,rt <br />CIfY &14NE55liC[N5C NO <br />ac <br />TOiAIFEE S I I I <br />FOR OFFICE USF ONLY: <br />ninw<nn�r. nrensnxec. sOtsr�9�cn M�xurtcnxwxrn � <br />I�'.1 /�.•�! . .. I(� � �l� V�f.�Y�$IIF � FEES / <br />❑YF[ ❑ Np RIXIf��Nf. <br />��fn.����V�.v.r�0y.._._— e0(NUw11UNG UIEO�BlUG91 <br />"��� PIuuPW . <br />r.n <br />•SF41A1 Mfll��iilfll � <br />❑�[f ❑N7 <br />- �Upli(IN�Iry�YC11fCM <br />OluFn <br />�1�1I P11ilU�4C 51111CI�I111(:f <br />CITV OF EVERETT rnnnc wnn.s <br />LOCALSALES -� -- <br />TAl( CO�E IS 31U5 TOT�L <br />FEE <br />70TAL FEE 5 � <br />rrF nrrrm�r�o <br />VAIUATION FEE <br />�T <br />1 <br />